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目的:探讨低出生体重儿的发病因素、发生率、合并症及死亡原因,为预防低出生体重儿的发生提供参考依据。方法:回顾性分析2004年1月～2010年1月河池市妇幼保健院新生儿科收治的382例低出生体重儿的临床资料,分析、比较其发病因素、发生率、合并症及死亡原因、死亡率。结果:382例低出生体重儿发病原因均为母亲妊娠期各种因素。常见合并症有产前宫内窘迫、出生后窒息、高胆红素血症、吸入性或感染性肺炎、颅内出血、缺氧缺血性脑病、硬肿症、低血糖、新生儿呼吸窘迫综合征、肺出血、坏死性小肠结肠炎等;低出生体重儿发生率为51.63‰,死亡率为157.07‰;死亡以早产极低出生体重儿为主。结论:加强孕期保健是预防低出生体重儿发生的重要措施之一。
Objective: To investigate the incidence of low birth weight infants, incidence, complications and causes of death for the prevention of low birth weight infants to provide a reference. Methods: The clinical data of 382 cases of low birth weight infants admitted to neonatology department of Hechi MCH hospital from January 2004 to January 2010 were analyzed retrospectively. The incidence, incidence, complication and cause of death were analyzed and compared. rate. Results: The causes of 382 cases of low birth weight infants were all factors of mother during pregnancy. Common complications with prenatal intrauterine distress, postpartum asphyxia, hyperbilirubinemia, inhalation or infectious pneumonia, intracranial hemorrhage, hypoxic-ischemic encephalopathy, scleredema, hypoglycemia, neonatal respiratory distress syndrome Levy, pulmonary hemorrhage, necrotizing enterocolitis, etc .; the incidence of low birth weight infants was 51.63 ‰, the mortality rate was 157.07 ‰; and the death was mainly of preterm low birth weight infants. Conclusion: Strengthening pregnancy health care is one of the important measures to prevent low birth weight infants.