晚期早产儿呼吸窘迫综合征高危因素分析

Analysis of High-Risk Factors of Respiratory Distress Syndrome in Late Preterm Infants

目的分析晚期早产儿呼吸窘迫综合征(RDS)发生的相关高危因素。方法选取2018年1月~2020年1月珠海市妇幼保健院新生儿科病房收治的晚期早产儿165例,根据是否发生RDS分为观察组和对照组,对两组患儿的一般情况、高危因素等进行统计分析。结果两组患儿在择期剖宫产、妊娠期糖尿病、妊娠期高血压、宫内缺氧等方面比较,差异均有统计学意义(P<0.05);Logistic回归显示妊娠糖尿病、择期剖宫产为NRDS发生的危险因素。结论临床中应严格把握剖宫产指征,控制妊娠期高血糖,避免RDS的发生。

Objective To analyze the high-risk factors related to the occurrence of respiratory distress syndrome(RDS)in late preterm infants.Methods A total of 165 late preterm infants admitted to the neonatal ward ofZhuhai Maternal and Child Health Care Hospital from January 2018 to January 2020 were divided into observation group and control group according to whether or not RDS occurred.Statistical analyses on general conditions and high-risk factors of the children in both groups were conducted.Results There were statistically significant differences between the two groups in elective cesarean section,gestational diabetes mellitus,gestational hypertension and intrauterine hypoxia(P<0.05);Logistic regression shows that gestational diabetes mellitus and elective cesarean section were the risk factors of the occurrence of NRDS.Conclusion The clinical cesarean section indication should be strictly followed and gestational hyperglycemiashould be controlled,thus preventing the occurrence of RDS.