摘要
目的 探究新生儿发生呼吸窘迫综合征的危险因素。方法 回顾性纳入2020年3月~2021年3月在广州市白云区妇幼保健院接受医治的呼吸窘迫综合征新生儿110例的临床资料,将其作为呼吸窘迫综合征组,再选取同时期入院的健康新生儿240名作为健康组。对影响新生儿发生呼吸窘迫综合征的单因素进行分析,将其中差异有统计学意义的因素纳入多因素非条件Logistic回归分析模型,筛选出新生儿发生呼吸窘迫综合征的危险因素。结果 单因素分析结果显示,呼吸窘迫综合征组中剖宫产、孕次≥3次、胎次为2次和3次的患儿占比均高于健康组,且呼吸窘迫综合征组的患儿孕龄短于健康组;多因素非条件Logistic回归分析结果显示,剖宫产、孕次≥3次、胎次为2次和3次、孕龄短均为新生儿发生呼吸窘迫综合征的危险因素(OR=1.575、4.100、2.441、4.028、2.422,均P<0.05)。结论 剖宫产、孕次≥3次、胎次为2次和3次、孕龄短均为新生儿发生呼吸窘迫综合征的危险因素,临床需要通过对这些危险因素进行筛查和有效防治,避免新生儿发生呼吸窘迫综合征,获得最佳的母婴分娩结局。
Objective To explore the risk factors for neonatal respiratory distress syndrome(RDS).Methods The clinical data of newborns with RDS treated in Guangzhou Baiyun District Maternal and Child Health Hospital were retrospectively included.A total of 110 affected newborns were selected from March 2020 to March 2021 as the RDS group,and 240 healthy newborns hospitalized in the same period were selected as the healthy group.The single factors affecting the occurrence of RDS in newborns were analyzed,and then the statistically significant factors were included in the multivariate unconditional logistic regression analysis model to screen the risk factors for neonatal RDS.Results Univariate analysis showed that the proportions of newborns delivered by cesarean section and with gravidity≥3 times,parity of 2 and 3 times in the RDS group were higher than those in the healthy group,and the gestational age of newborns in the RDS group was shorter than that in the healthy group.Multivariate unconditional logistic regression analysis showed that cesarean section,gravidity≥3 times,parity of 2 and 3 times and short gestational age are risk factors for neonatal RDS(OR=1.575,4.100,2.441,4.028,2.422,all P<0.05).Conclusion Cesarean section,gravidity≥3times,parity of 2 and 3 times and short gestational age are risk factors for neonatal RDS.Therefore,it is necessary to screen and effectively prevent the risk factors in clinical practices to avoid the occurrence of neonatal RDS and obtain the best maternal and infant birth outcomes.
作者
黄苑晓
周怡
李立新
HUANG Yuanxiao;ZHOU Yi;LI Lixin(Department of Neonatology,Guangzhou Baiyun District Maternal and Child Health Hospital,Guangzhou 510400,China)
出处
《中国现代医生》
2022年第17期58-60,105,共4页
China Modern Doctor
关键词
新生儿
呼吸窘迫综合征
分娩方式
危险因素
Newborns
Respiratory distress syndrome
Mode of delivery
Risk factors
