摘要
目的探讨胎母胎盘病检组织学绒毛膜羊膜炎(HCA)与早产儿并发症的相关性。方法回顾性分析2017年9月至2019年8月于我院行胎盘病理学检查的300例早产儿的临床资料。根据HCA诊断结果进行分组,观察组(HCA阳性)及对照组(HCA阴性)。记录两组炎症指标、并发症具体情况及两者之间相关性。结果观察组RDS、PVL、败血症、BPD并发症发生率均明显高于对照组(P<0.05),而NEC、高胆红素血症发生率与对照组无明显差异(P>0.05)。RDS、PVL、败血症、BPD并发症均为HCA阳性发生的危险因素(P<0.05)。结论组织学绒毛膜羊膜炎阳性,与多种早产儿并发症均有着较高相关性,因此新生儿科需要做好预防监测工作,严格监护病检阳性早产儿,尽可能降低早产儿感染风险,减少早产儿并发症的发生率。
Objective To investigate the correlation between chorioamnionitis(HCA)and complications of preterm infants.Methods The clinical data of 300 premature infants who underwent placental pathology examination in our hospital from September 2017 to August 2019 were retrospectively analyzed.According to the diagnosis results of HCA,the observation group(HCA positive)and the control group(HCA negative).The inflammatory indexes,complications and the correlation between the two groups were recorded.Results The incidence of RDS,PVL,sepsis and BPD complications in the observation group were significantly higher than those in the control group(P<0.05),while the incidence of NEC and hyperbilirubinemia was not significantly different from that of the control group(P>0.05).RDS,PVL,sepsis and BPD complications were the risk factors of HCA positive(P<0.05).Conclusion Histologic chorioamnionitis is positive,and a variety of premature complications have a high correlation,therefore,neonatal Pediatrics need to do a good job in prevention and monitoring,strict monitoring of the disease positive preterm infants,as far as possible to reduce the risk of infection in preterm infants,reduce the incidence of complications of preterm infants.
作者
吉格力
魏群
宋新珍
JI Ge-li;WEI Qun;SONG Xin-zhen(Bazhou People's Hospital of Bayingol Mongolian Autonomous Prefecture,Korla,Xinjiang 841000)
出处
《智慧健康》
2020年第34期30-31,34,共3页
Smart Healthcare
