论文部分内容阅读
目的探寻影响极低出生体重儿住院期间的生长速度及其相关影响因素,为以后临床工作中对极低出生体重儿治疗护理提供帮助。方法对南通市妇幼保健院NICU住院的极低出生体重儿定期测量体重、身长、头围,绘成生长曲线图。分析体重、身长、头围的生长,及其影响因素。结果体重宫内生长迟缓(IUGR)17例(16.19%),宫外生长迟缓(EUGR)41例(39.05%);身长IUGR22例(20.95%);EUGR35例(33.33%);头围IUGR9例(8.57%),EUGR15例(15.24%)。体重EUGR组与非EUGR组:孕母胎膜早破、宫腔感染发生率EUGR组明显高于非EUGR组,两组差异有统计学意义(P<0.05);EUGR组住院期间合并慢性肺病、败血症、动脉导管未闭发生率明显高于非EUGR组,两组差异有统计学意义(P<0.05);EUGR组CPAP通气时间、气管插管辅助通气使用率及时间明显高于非EUGR组,两组差异有统计学意义(P<0.05)。结论极低出生体重儿的管理,需重视生长曲线图的描绘,关注生长曲线显示为下跌趋势患儿,及时查找原因,及时干预,对孕母胎膜早破、宫腔感染的监测与预防,住院期间积极治疗慢性肺病、败血症、动脉导管未闭等并发症,是防止极低出生体重儿发生EUGR的关键。
Objective To explore the growth rate of low birth weight infants during hospitalization and its related factors in order to provide help for the treatment of very low birth weight children in clinical work. Methods The weight, length and head circumference of the very low birth weight children hospitalized in N NIC of MCH hospital in Nantong City were measured regularly. The growth curve was drawn. Analysis of weight, length, head circumference growth, and its influencing factors. Results: IUGR in 17 cases (16.19%) and EUGR in 41 cases (39.05%), length of IUGR in 22 cases (20.95%), EUGR in 35 cases (33.33% 8.57%), EUGR15 cases (15.24%). EUGR group and non-EUGR group: premature rupture of membranes, the incidence of intrauterine infection in EUGR group was significantly higher than non-EUGR group, the difference was statistically significant (P <0.05); EUGR group hospitalized with chronic lung disease, sepsis , And the incidence of patent ductus arteriosus was significantly higher than that of non-EUGR group (P <0.05). The duration of CPAP ventilation and intubation-assisted ventilation in EUGR group was significantly higher than that of non-EUGR group The difference was statistically significant (P <0.05). Conclusion The management of very low birth weight children needs to pay attention to the depiction of the growth curve, pay attention to the children whose growth curves show a downward trend, find out the causes in time, timely intervention, the monitoring and prevention of premature rupture of membranes, intrauterine infection, hospitalization Active treatment of chronic lung disease, sepsis, patent ductus arteriosus and other complications during the prevention of very low birth weight children EUGR key.