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目的分析诱发新生儿肺出血的相关影响因素及其防治措施。方法选取15例新生儿重症监护室收治的肺出血患儿作为实验组,另抽取15例新生儿重症监护室收治的未发生肺出血的新生儿作为对照组。统计并比较两组新生儿的临床资料,分析诱发新生儿肺出血的影响因素,并提出相关防治措施。结果观察组新生儿胎龄为(31.56±3.12)周、出生体重为(1434.04±412.01)g,均低于对照组的(38.67±2.87)周、(2964.14±457.33)g,差异具有统计学意义(P<0.05);实验组新生儿体低温、呼吸窘迫综合征、吸入性肺炎、窒息、特指感染、胎粪吸入综合征、妊娠期高血压综合征(妊高症)发生率均高于对照组,差异具有统计学意义(P<0.05)。两组新生儿日龄、分娩方式比较差异无统计学意义(P>0.05)。结论临床上应加强早期的防治工作,预防早产、窒息、胎粪吸入、呼吸窘迫综合征等影响因素,减少新生儿肺出血风险,降低病死率。
Objective To analyze the related factors of neonatal pulmonary hemorrhage and its preventive measures. Methods Fifteen neonates with pulmonary hemorrhage admitted to neonatal intensive care unit were selected as the experimental group and 15 neonates with non-pulmonary hemorrhage admitted to the neonatal intensive care unit were selected as the control group. The clinical data of two groups of neonates were statistically compared and analyzed, the influencing factors of neonatal pulmonary hemorrhage were analyzed, and the related prevention and control measures were put forward. Results The gestational age of newborns in observation group was (31.56 ± 3.12) weeks and the birth weight was (1434.04 ± 412.01) g, which were significantly lower than those in control group (38.67 ± 2.87) weeks and (2964.14 ± 457.33) g, respectively (P <0.05). The incidence of neonatal hypothermia, respiratory distress syndrome, aspiration pneumonia, asphyxia, specific infection, meconium aspiration syndrome and pregnancy-induced hypertension syndrome Control group, the difference was statistically significant (P <0.05). Neonatal two groups of age, mode of delivery was no significant difference (P> 0.05). Conclusions The prevention and treatment of premature labor, asphyxia, meconium aspiration, respiratory distress syndrome and so on should be strengthened in early stage of prevention and treatment to reduce the risk of pulmonary hemorrhage and reduce the mortality in neonates.