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目的:探讨胎儿窘迫对发生围生期新生儿肺炎的影响,从而为该疾病的早发现、早诊断和早治疗提供理论依据。方法:选取2012年12月~2013年12月在该院出生的100例足月围生期新生儿作为研究对象,其中在孕产期发生胎儿窘迫的新生儿为实验组(50例);在孕产期未发生胎儿窘迫的新生儿为对照组(50例)。对所有围生期新生儿进行跟踪随访,并统计围生期新生儿肺炎的发生情况,分析该疾病的发生与胎儿窘迫之间的关系,并对两组患者痰液标本进行培养。结果:实验组围生期新生儿肺炎的发生率为32.0%,而对照组为4.0%,胎儿窘迫与围生期新生儿肺炎呈正相关(P<0.05)。实验组B族链球菌、金黄色葡萄球菌和肺炎克雷伯杆菌检查率明显高于对照组,两组间比较差异有统计学意义(P<0.05)。结论:胎儿窘迫是发生围生期新生儿肺炎的重要因素,因此积极改善围生期保健工作质量,加强孕产妇的自我保健意识和优生意识,预防金黄色葡萄球菌、肺炎克雷伯杆菌和B族链球菌,对降低围生期新生儿肺炎的发生率有着积极的促进作用。
Objective: To investigate the impact of fetal distress on occurrence of perinatal neonatal pneumonia, thus providing a theoretical basis for the early detection, early diagnosis and early treatment of the disease. Methods: A total of 100 full-term perinatal newborns born in this hospital from December 2012 to December 2013 were selected as the research subjects. Among them, the neonatal fetuses with fetal distress during pregnancy were selected as the experimental group (50 cases) Neonates without fetal distress during pregnancy were control group (n = 50). Follow-up of all perinatal neonates was performed. The incidence of neonatal pneumonia in the perinatal period was calculated. The relationship between the occurrence of the disease and fetal distress was analyzed. Sputum samples from both groups were cultured. Results: The incidence of perinatal neonatal pneumonia was 32.0% in the experimental group compared with 4.0% in the control group. There was a positive correlation between fetal distress and neonatal pneumonia in the perinatal period (P <0.05). The test group B streptococcus, Staphylococcus aureus and Klebsiella pneumoniae examination was significantly higher than the control group, the difference between the two groups was statistically significant (P <0.05). Conclusion: Fetal distress is an important factor in the occurrence of perinatal neonatal pneumonia. Therefore, we actively improve the quality of perinatal health care work, strengthen the self-care awareness and eugenics awareness of pregnant women, prevent Staphylococcus aureus, Klebsiella pneumonia and B Streptococcus group, to reduce the incidence of perinatal neonatal pneumonia has a positive role in promoting.