摘要
目的对低出生体质量儿的管理与治疗进行对比研究,为临床工作提供理论指导。方法将2006年1月至2010年12月入住陇南市人民医院儿科的低体质量儿根据出生时间分为两组:A组为2006年1月至2007年12月出生的低出生体质量儿20例,按照常规管理与治疗原则进行;B组为2008年1月至2010年12月出生的低出生体质量儿35例,管理与治疗原则均进行改进。对肝、肾功能等实验室检查指标、并发症及预后情况进行对比研究。结果 A组与B组实验室指标比较差异均无统计学意义(P>0.05);B组硬肿症的发生率为5.7%,动脉导管未闭的发生率为2.9%,均低于A组,比较差异均有统计学意义(P<0.05)。两组新生儿的生存率比较,B组为54.3%(19/35),显著高于A组的15.0%(3/20),差异有统计学意义(χ2=8.185,P<0.05)。结论对低体质量儿的全方位强化管理及积极合理的治疗,可有效减少并发症、降低病死率,提高低体质量儿的生命质量。
Objective To study the management and treatment of low birth weight children to provide theoretical guidance for clinical work. Methods Low birth weight children from January 2006 to December 2010 in People＇s Hospital of Longnan City were divided into two groups according to the birth time ：20 cases born from January 2006-December 2007 were as group A, treated with the principles of general management and treatment; 35 cases born from January 2008 to December 2010 were as group B ,for which the manage- ment and treatment principles were improved. The laboratory indexes including liver and kidney function, complications and prognosis of the two groups were compared and studied. Results Laboratory parameters showed no significant difference between group A and group B（ P 〉0.05 ） ; scleredema incidence was 5.7% in group B, patent ductus arteriosus incidence was 2.9%, lower than group A, there were significant differ- ence（P 〈 0.05 ）. Neonatal survival rate was 54.3% （ 19/35 ） in group B, higher than 15.0% （3/20） in group A, there was statistically significant difference （ X2 = 8.185, P 〈 0.05 ）. Conclusion Strengthening the comprehensive management and timely treatment of low birth weight children can effectively reduce complications and the mortality, and improve the life quality of children with low birth weight.
出处
《医学综述》
2013年第17期3254-3256,共3页
Medical Recapitulate
关键词
出生体质量儿
管理
治疗
并发症
预后
Low birth weight infant
Management
Treatment
Complications
Prognosis
