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新生儿内科性呕吐现状及影响因素分析

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目的 探讨新生儿内科性呕吐现状及影响因素,为本病防治提供参考.方法 回顾性选取2022年5月—2023年12月乐山市人民医院收治的214例符合标准的新生儿的临床资料,依据有无发生内科性呕吐分为呕吐组(23例)和非呕吐组(191例).比较呕吐组与非呕吐组新生儿的胎龄、性别、出生日龄、分娩方式、出生体重及喂养方式情况,采用多因素Logistic回归分析导致新生儿内科性呕吐的影响因素.结果 两组胎龄、出生日龄、分娩方式、出生体重比较,差异有统计学意义(P均<0.05).两组性别与喂养方式比较差异无统计学意义(P均>0.05).经多因素Logistic回归分析,胎龄、出生日龄、分娩方式、出生体重是新生儿内科性呕吐的影响因素(OR=2.535、2.302、1.974、2.186,P均<0.05).结论 早产、出生日龄≤24 h、剖宫产、出生低体重的新生儿发生内科性呕吐的可能性更大,应加强观察与评估,尽早发现、合理治疗,患儿一般预后良好.
Analysis of the Current Situation and Influencing Factors of Neonatal Medical Vomiting
Objective To explore the current situation and influencing factors of neonatal medical vomiting,and to pro-vide reference for the prevention and treatment of this disease.Methods The clinical data of 214 eligible newborns ad-mitted to Leshan People's Hospital from May 2022 to December 2023 were retrospectively selected.According to the presence or absence of medical vomiting,the newborns were divided into vomiting group(23 cases)and non-vomiting group(191 cases).The gestational age,sex,birth age,delivery mode,birth weight and feeding mode of the neonates in the vomiting group and the non-vomiting group were compared.Multivariate Logistic regression analysis was used to analyze the influencing factors of neonatal medical vomiting.Results There were significant differences in gestational age,birth age,delivery mode and birth weight between the two groups(all P<0.05).There was no significant difference in gender and feeding methods between the two groups(P>0.05).Multivariate Logistic regression analysis showed that gestational age,birth age,delivery mode and birth weight were the influencing factors for neonatal medical vomiting(OR=2.535,2.302,1.974,2.186,all P<0.05).Conclusion Preterm birth,birth age≤24 h,cesarean section,and low birth weight are more likely to cause medical vomiting.Observation and evaluation should be strengthened,and early detection and reasonable treatment should be performed.The prognosis of children is generally good.

NewbornMedical vomitingInfluencing factors

陈思思、曹莹、魏琼

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乐山市人民医院儿科,四川 乐山 614000

新生儿 内科性呕吐 影响因素

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(32)