35例肺出血新生儿高危因素分析

Analysis of High Risk Factors for 35 Cases of Neonatal Pulmonary Hemorrhage

目的探讨新生儿肺出血高危因素,为疾病早期防治提供依据。方法选取2014年1月—2017年7月我院收治的肺出血患儿35例作为实验组,另择取同期我院健康新生儿35例作为对照组。回顾性分析两组临床资料,多因素分析导致新生儿肺出血的危险因素。结果实验组早产儿45.71%、低体质量儿51.43%、妊娠期高血压疾病25.71%、新生儿窒息48.57%、感染性肺炎14.29%、呼吸窘迫综合征17.14%、低体温31.43%,与对照组比较,差异具有统计学意义(P<0.05)。结论早产儿、低体质量儿、妊娠期高血压疾病、新生儿窒息、吸入性肺炎、呼吸窘迫综合征、低体温是新生儿肺出血高危因素。

Objective To investigate the risk factors of neonatal pulmonary hemorrhage,and to provide the basis for early prevention and treatment of disease.Methods 35 children with pulmonary hemorrhage admitted to our hospital from January 2014 to July 2017 were selected as the experimental group.The other selection in our hospital during the same period 35 cases of healthy neonates as control group.The clinical data of two groups were retrospectively analyzed,and the risk factors for neonatal pulmonary hemorrhage were analyzed by multivariate analysis.Results In the experimental group,45.71%of preterm infants,51.43%of low body mass,25.71%of pregnancy induced hypertension,48.57%of neonatal asphyxia,14.29%of infectious pneumonia,17.14%of respiratory distress syndrome and 31.43%of low temperature,respectively.Compared with the control group,the difference was statistically significant(P<0.05).Conclusion Preterm infants,low birth weight infants,hypertensive disorder complicating pregnancy,neonatal asphyxia,aspiration pneumonia,respiratory distress syndrome and hypothermia are the risk factors for neonatal pulmonary hemorrhage.