新生儿重症监护室内极低出生体重儿低体温发生的影响因素分析

Analysis on the Influencing Factors for Occurrence of Hypothermia in Very Low Birth Weight Infants in Neonatal Intensive Care Unit

目的探讨新生儿重症监护室内极低出生体重儿(VLBWI)低体温发生的影响因素。方法回顾分析100例VLBWI的临床资料,根据低体温的发生情况分为发生组和未发生组,分析VLBWI低体温发生的影响因素。结果100例VLBWI的低体温发生率为60.00%。1 min Apgar评分≤7分、新生儿窒息史、剖宫产均是新生儿重症监护室内VLBWI低体温发生的危险因素(OR>1,P<0.05);产前使用激素是新生儿重症监护室内VLBWI低体温发生的保护因素(OR<1,P<0.05)。结论1 min Apgar评分≤7分、新生儿窒息史、剖宫产均是新生儿重症监护室内VLBWI低体温发生的危险因素,产前使用激素是新生儿重症监护室内VLBWI低体温发生的保护因素。

Objective To explore the influencing factors for the occurrence of hypothermia in very low birth weight infants(VLBWI in neonatal intensive care unit.Methods The clinical data of 100 VLBWI were retrospectively analyzed.According to the occurrence of hypothermia,all cases were divided into the occurrence group and the non-occurrence group.The influencing factors for the occurrence of hypothermia in VLBWI were analyzed.Results The incidence of hypothermia in 100 VLBWI was 60.00%.1 min Apgar score≤7 points,history of neonatal asphyxia and cesarean section were risk factors for the occurrence of hypothermia in VLBWI in neonatal intensive care unit(OR>1,P<0.05),while prenatal use of hormones was a protective factor for occurrence of hypothermia in VLBWI in neonatal intensive care unit(OR<1,P<0.05).Conclusions 1 min Apgar score≤7 points,history of neonatal asphyxia and cesarean section are the risk factors,and prenatal use of hormones is a protective factor for the occurrence of hypothermia in VLBWI in neonatal intensive care unit.