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早产儿入院低体温的相关因素分析

Analysis of correlative factors of hypothermia in hospital of premature infants

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目的 探究早产儿入院发生低体温的相关危险因素,为临床干预提供思路.方法 回顾性分析 253 例早产儿临床资料,根据患儿入院时体温分为低体温组(n=122)及正常体温组(n=131).Logistic回归分析影响患儿发生低体温的相关因素,采用Spearman相关性分析探究患儿预后与体温的关系.结果 两组患儿在胎龄、出生时体质量、出生时是否窒息、是否感染、是否患有新生儿呼吸窘迫综合征、胎膜是否早破及单胎或多胎情况方面,差异有统计学意义(P<0.05).Logistic回归分析显示,患儿出生时体质量<2 500 g、发生感染及多胎为患儿发生低体温的相关因素(P<0.05).胎龄及出生时体质量与发生低体温呈负相关(r=-0.251、-0.748,P<0.05),出生时窒息、感染、患有新生儿呼吸窘迫综合征、胎膜早破及多胎与发生低体温呈正相关(均P<0.05);入院时体温与发生窒息、感染及新生儿呼吸窘迫综合征呈负相关(r=-0.257、-0.399、-0.392,P<0.05),与发生低血糖无相关性(P>0.05).结论 患儿出生时体质量较轻、发生感染及多胎为影响患儿发生低体温的危险因素,并且体温越低的患儿发生窒息、感染及新生儿呼吸窘迫综合征的风险越高.临床应针对实际情况,对患儿体温做出有效管理,以改善其预后.
Objective To explore the related risk factors for hypothermia in premature infants upon hospital admission,and to provide insights for clinical interventions.Methods The clinical data of 253 preterm infants were retrospectively analyzed.The infants were categorized into two groups based on their body temperature at admission:the hypothermia group(n= 122)and the normal temperature group(n=131).The factors affecting the occurrence of hypothermia were analyzed by Logistic regression,and the correlation analysis was carried out by Spearman method.Results The two groups of infants showed statistically significant differences in terms of gestational age,birth weight,presence of birth asphyxia,infection,neonatal respiratory distress syndrome,premature rupture of membranes,and singleton or multiple births(P<0.05).Logistic regression analysis revealed that birth weight<2 500 g,occurrence of infection,and multiple births were factors associated with the occurrence of hypothermia in infants(P<0.05).Gestational age and birth weight were negatively correlated with the occurrence of hypothermia(r=-0.251,-0.748,P<0.05),while the presence of birth asphyxia,infection,neonatal respiratory distress syndrome,premature rupture of membranes,and singleton or multiple births were positively correlated with the occurrence of hypothermia(all P<0.05).Infant body temperature at admission was negatively correlated with the occurrence of asphyxia,infection,and neonatal respiratory distress syndrome(r=-0.257,-0.399,-0.392,P<0.05),but showed no correlation with hypoglycemia(P>0.05).Conclusions Risk factors for the occurrence of hypothermia in infants include low birth weight,infection,and multiple births.Furthermore,infants with lower body temperatures are at a higher risk of developing asphyxia,infection,and neonatal respiratory distress syndrome.Clinically,effective management of infant body temperature should be implemented based on individual circumstances to improve prognosis.

preterm infantshypothermiarisk factorsneonatal respiratory distress syndrome

胡晓慧、杨爱娟、吴思瑶、朱惠洁、徐雅

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永康市妇幼保健院 新生儿科,浙江 永康 321300

早产儿 低体温 危险因素 新生儿呼吸窘迫综合征

永康市科技计划

202032

2024

健康研究
杭州师范大学

健康研究

影响因子:0.823
ISSN:1674-6449
年,卷(期):2024.44(2)
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