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目的探讨蛛网膜下腔出血(SAH)患儿发生的危险因素。方法选择2006年6月—2010年12月在本院和兰州市妇幼保健院出生的80例SAH患儿和同期出生的228例健康儿,进行回顾性分析,对两组临床资料进行对照研究,应用χ2检验及Logitic多元回归分析其发生的危险因素。结果综合统计学分析结果,与对照组比较,病例组差异有统计学意义的因素分别为(按发生率高低):窒息、宫内窘迫、反复呼吸暂停、感染、急产、胎头吸引产和产钳助产。窒息、宫内窘迫、胎头吸引产、产钳助产和急产均可能是SAH发生的相关高危因素(P<0.05)。结论应加强孕期健康教育和产前检查,提高产前、产时、产后诊断水平,以早期防治蛛网膜下腔出血。
Objective To explore the risk factors of children with subarachnoid hemorrhage (SAH). Methods A total of 80 SAH infants and 228 healthy infants born in our hospital and Lanzhou MCH hospital from June 2006 to December 2010 were retrospectively analyzed and the clinical data of the two groups were compared. Χ2 test and Logitic multiple regression analysis were used to analyze the risk factors. Results According to the results of comprehensive statistical analysis, there were significant differences in the cases between the two groups (as per the incidence): asphyxia, intrauterine distress, repeated apnea, infection, emergency labor, fetal head induction and Forceps midwifery. Asphyxia, intrauterine distress, fetal head abortion, forceps midwifery and emergency labor were all risk factors associated with SAH (P <0.05). Conclusion Health education and prenatal examination during pregnancy should be strengthened to improve the diagnostic value of prenatal, delivery and postnatal period so as to prevent and cure subarachnoid hemorrhage in the early stage.