不同胎龄新生儿呼吸窘迫综合症的临床特点比较及其疗效研究

Clinical comparison of neonatal respiratory distress syndrome with different gestational age and analysis of its effect

目的:回顾性分析不同胎龄患有呼吸窘迫症的新生儿的临床表现及疗效。方法:按胎龄将49例患有呼吸窘迫综合症患儿分组,早产儿组(胎龄≤33周)25例;足月儿组(胎龄≥37周)10例;晚早产儿组(33周<胎龄<37周)14例。治疗后,对比观察各组患儿的基本情况、临床特点等临床效果。结果:不同胎龄患儿治疗反应、临床特点、高危因素及并发症存在一定的差异,且发病率男性居多。结论:足月产儿组新生儿患病的主要高危因素是剖宫产;因此合理有效的控制足月产儿中剖宫产的比例对降低疾病的发生有一定的临床意义,同时对出现妊高症的孕妇应积极治疗,并注意剖宫产指征,有利于患儿的治愈。

Objective retrospective analysis of the efficacy and clinical manifestations of different gestational age newborns with respiratory distress syndrome. Methods according to the fetal age will 49 cases with respiratory distress syndrome patients were divided into two groups, 25 cases of preterm infants(gestational age <33 weeks); foot group infants(gestational age greater than or equal to 37 weeks) in 10 cases; late preterm infants(33 weeks < gestational age < 37 weeks) in 14 cases. After treatment, the basic situation and clinical characteristics of each group were observed and compared. Results the treatment response, clinical characteristics, risk factors and complications of different gestational age were different, and the incidence rate was mostly male. Conclusion the main risk factors for sick newborns of term births are cesarean; therefore reasonable and effective control of the proportion of full-term births, caesarean section to reduce the occurrence of disease has clinical significance, but for the occurrence of PIH disease in pregnant women should be actively treated, and pay attention cesarean section, it is conducive to cure children.