摘要
目的 :了解 16年来本地区新生儿感染性疾病的发病情况及病种变迁。方法 :用回顾性分析法对本院 16年来(分先后 8年A、B组住院的新生儿感染性疾病逐一对照分析。结果 16年共 5 13例 ,A、B两组肺炎占本组感染性疾病的36 1%与 45 2 % ,拟诊败血症为 19 2 %与 3 9% ,确诊败血症为 1 6%与 7 9% (P <0 .0 1) ,脐炎 17 6 %与 2 4 8% ,支气管炎8 7%与 3 9% ,各种肠炎 10 9%与 6 7% ,口炎 4 9%与 2 5 % ,梅毒 0与 3 6% ,化脓性脑膜炎 0 5 %与 1 5 % ,皮炎 0 5与 0。两组治愈率为 66 1%与 60 3% ,好转率 13 7%与 2 4 2 % ,恶化率 5 5 %与 10 7% ,死亡率 14 7%与 4 8% ,P均 >0 .0 5。两组共死亡 43例 ,其中肺炎占首位 ,共 12例。结论 :本地区新生儿各种疾病的发病率、住院率有所提高 ,但新生儿感染性疾病住院数近 8年有明显下降 (P <0 .0 1)。尽管如此 ,新生儿感染性疾病仍占新生儿各种疾病的首位 ,呼吸道感染性疾病并因之而死亡的病例 (12 / 43)均占感染性疾病的首位。死因中肺炎占首位 ,败血症次之。要尽可能对新生儿感染性疾病作出病因诊断 ,掌握好抗生素的选择和应用指征。
Objectivs:For the understand pathogenetic circumstanccs and discasc kind of the neonatal infcctious diseases(ID) in this area in the past 16 year .Methods:Used the analysis of review methods to analysis all the inpatients of the neonatal ID one by one in this hospital in the past 16 years(divided into early 8 years and later 8 years ,A and B groups).Results:Neonatal ID total 513 cases in the past 16 years.The A and B groups of the patients suffer from bronchopneumonia,make up itself group neonatal ID 36.1% and 45.2%,clinical diagnosed septicemia 19.2% and 3.9%,true diagnosed septicemia 1.6% and 7.9%(P<0.01),the omphalitis 17.6% and 24.8%,the bronchitis 8.7% and 3.9%,all kinds of the enteritis 10.9% and 6.7%,all kinds of the stomatitis 4.9% and 2.5%,the placental transmission syphitlis 0 and 3.6%,the pyogenic meningitis 0.5% and 1.5%,the dermatitis 0.5% and 0.The curative effect:the two groups convalesencerate was 66.1% and 60.3%,the improved rate was 13.7% and 24.2% the worsen rate was 5.5% and 10.7%,motality was 14.7% and 4.8%(all diseases group P>0.05). Two gruops death 43 cases. Amorg these death patients,brochopeneumonia make up the first place ,total 12 cases.Conclusion:The morbidity and admission rate of the neonatal varied diseases has somewhat raised in the area ,but admission rate of the neonatal ID has distinct dropped (P<0.01),However,infections diseases still occupy first position of the neonatal viried diseases ,The respiratory tract ID and patients death for this reason(12/43) all make up the first place of the neonatal ID.Amorg the death causes ,bronchopneumonia also occupy first place.Confront the nevnatal ID ,as far as possible obtain pathogeny diagnosis,have a good grasp selected and applied of the antibiotica.
出处
《中国优生与遗传杂志》
2000年第5期89-90,共2页
Chinese Journal of Birth Health & Heredity
