摘要
目的探讨晚期早产儿(late preterm infant,LPI)早产相关危险因素及临床常见并发症。方法对287例LPI临床资料进行回顾性分析,同时随机抽取288例同期住院的足月新生儿作对照,应用logistic回归分析的方法筛选LPI早产的危险因素,并分析其常见临床并发症的发生等情况。结果 Logistic回归显示双胎、妊娠期糖尿病、先兆子癎及子癎、前置胎盘、胎盘早剥及胎膜早破为LPI早产发生的危险因素。LPI住院时间明显长于足月儿,其各系统并发症发生率均较高,其中以贫血、吸入性肺炎、低血糖症、颅内出血等为主。结论 LPI生后易发生多种并发症,应注意密切观察,及时救治。避免围产期异常分娩因素的发生是降低LPI出生的关键。
Objective To investigate the risk factors for preterm birth and complications in late preterm infants.Methods The clinical data of 287 late preterm infants were retrospectively studied.Two hundred and eighty-eight term infants served as the control group.Logistic regression analysis was used to identify risk factors associated with late preterm birth.The common complications in late preterm infants were investigated.Results Several significant risk factors for late preterm birth were identified by logistic regression analysis：twin pregnancy,gestational diabetes mellitus,eclampsia or preeclampsia,placenta previa,placental abruption and premature rupture of membranes.The duration of hospitalization in late preterm infants was longer than that in term infants.The complications were common in late preterm infants,with a high prevalence of anemia,aspiration pneumonia,hypoglycemia and intracranial hemorrhage.Conclusions The late preterm infants are much more likely to suffer various complications.It is important to reduce the incidence of late preterm births by decreasing perinatal risk factors above mentioned.
出处
《中国当代儿科杂志》
CAS
CSCD
北大核心
2011年第3期177-180,共4页
Chinese Journal of Contemporary Pediatrics
关键词
危险因素
并发症
晚期早产儿
Risk factor
Complication
Late preterm infant
