摘要
目的分析小于胎龄儿临床基本情况、围生期相关因素和并发症发生情况,为临床预防小于胎龄儿的发生提供参考资料。方法将小于胎龄儿78例和适于胎龄儿120例分为小于胎龄儿组和适于胎龄儿组,统计分析2组新生儿及母亲基本资料、新生儿并发症发生情况。结果2组新生儿胎龄比较差异无统计学意义(P>0.05);与适于胎龄儿组相比,小于胎龄儿组新生儿女性偏多、住院时间偏长而出生体质量偏低(均P<0.01)。2组胎盘因素、妊娠期糖尿病、母亲内科疾病、高龄产妇比较差异无统计学意义(均P>0.05);与适于胎龄儿组比较,小于胎龄儿组妊娠期高血压、多胎妊娠、羊水过少、胎膜早破和宫内窘迫发生率较高(均P<0.05)。2组新生儿喂养不耐受、颅内出血、呼吸暂停、呼吸窘迫综合征、消化道出血、吸入综合征并发症发生率比较差异无统计学意义(均P>0.05);与适于胎龄儿组比较,小于胎龄儿组新生儿窒息、红细胞增多症、高胆红素血症和低血糖发生率较高(均P<0.05)。结论小于胎龄儿出生体质量低且并发症较多,与母亲健康情况密切相关。加强孕期保健减少小于胎龄儿发生的同时应加强新生儿监护。
Objective To analyze the basic conditions,perinatal factors and complications in small-for-gestational-age(SGA)infants,and to provide reference for clinical prevention of the occurrence of SGA.Methods Seventy-eight SGA infants and 120 appropriate-for-gestational-age(AGA)infants were selected to analyze their basic information and complications.Results There were no significant differences in the gestational age of newborns,placental factors,gestational diabetes,maternal medical diseases,advanced maternal age and incidence of neonatal feeding intolerance,intracranial hemorrhage,apnea,respiratory distress syndrome,gastrointestinal hemorrhage and inhalation syndrome between the two groups.Compared with AGA group,the number of females newborns,length of hospital stay and incidence of gestational hypertension,multiple pregnancy,oligoamnios,premature rupture of membranes,intrauterine distress and incidence of neonatal asphyxia,polycythemia,hyperbilirubinemia and hypoglycemia increased,but the birth weight decreased in SGA group(P<0.05 or P<0.01).Conclusion The SGA is associated with lower birth weight and more complications,and closely related to the maternal health.Prenatal health care and neonatal monitoring should be strengthened to reduce the occurrence of SGA and its complications.
作者
林秋兰
林垦
LIN Qiu-lan;LIN Ken(Department of Pediatrics,the Sixth People’s Hospital of Huizhou,Huizhou516200,China)
出处
《实用临床医学（江西）》
CAS
2020年第2期51-53,共3页
Practical Clinical Medicine
关键词
并发症
围生期
小于胎龄儿
临床特点
基本情况
complications
perinatal period
small-for-gestational-age infants
clinical characteristics
basic situation
