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目的探讨妊娠期高血压病与新生儿体格发育及脑损伤的关系方法回顾性研究2012年新生儿科住院的妊娠期高血压病新生儿92例作为观察组,同期住院的101例新生儿(新生儿咽下综合征、新生儿吸入性肺炎、新生儿高胆红素血症新生儿,并除外母亲孕期合并糖尿病、贫血、血小板减少、先天性心脏病和生后窒息、头皮血肿等)作为对照组,比较两组体格发育指标(出生体重、体重下降最低时间和百分率、住院时间、每周体重增长率、出院时宫外生长迟缓发生率)、20项神经行为测定(NBNA评分)、颅内出血发生情况。结果观察组早产儿体格发育指标明显低于对照组,NBNA评分中行为能力评分低、颅内出血发生率高,均有统计学意义。结论妊娠期高血压病可致新生儿体格发育迟缓和脑损伤,应加强围产期保健,提高围产技术,降低不良后果。
Objective To investigate the relationship between gestational hypertension and neonatal physical development and brain injury.Methods A retrospective study of 92 newborns with hypertensive disorder complicating pregnancy during the neonatal period in 2012 was performed in the observation group and 101 newborns Swallowing syndrome, neonatal aspiration pneumonia, neonatal hyperbilirubinemia newborns, with the exception of mothers during pregnancy with diabetes, anemia, thrombocytopenia, congenital heart disease and postnatal asphyxia, scalp hematoma, etc.) as a control group (Birth weight, minimum time and percentage of body weight loss, length of hospital stay, weight gain per week, and incidence of ectopic growth after discharge), 20 neurobehavioral tests (NBNA score), and intracranial hemorrhage were compared between the two groups Happening. Results In the observation group, the indexes of physical development in preterm infants were significantly lower than those in the control group. The score of NBNA score was low, and the incidence of intracranial hemorrhage was high, both of which were statistically significant. Conclusions Pregnancy-induced hypertension can cause physical retardation and brain injury in neonates. Perinatal care should be strengthened to improve perinatal skills and reduce adverse consequences.