摘要
目的 分析早产儿死亡的影响因素.方法 回顾性分析34例死亡早产儿(死亡组)和34例存活早产儿(存活组)及其母亲的临床资料,采用多因素logistic回归分析早产儿死亡的影响因素.结果 死亡组男性早产儿、出生时窒息、多胎妊娠及母亲有妇科疾病的比例高于存活组,而早产儿RBC、Plt、住院时间及母亲定期产检的比例低于存活组(P＜0.05).多因素logistic回归分析结果显示,男性、出生时窒息和多胎妊娠是早产儿死亡的独立危险因素(P＜0.01),而Plt增加是其独立保护因素(P＜0.05).结论 对有男性、出生时窒息、多胎妊娠和Plt减少等高危因素的早产儿,应更早给予足够的关注,以期降低其死亡率.
Abstract
Objective To analyze the influencing factors for the mortality of the premature infants.Methods The clinical data of 34 dead premature infants(group A),34 alive premature infants(group B)and their mothers were retrospectively analyzed.The influencing factors for the mortality of the premature infants were analyzed by multivariate logistic regression.Results The proportions of male premature infants,neonatal asphyxia,multiple pregnancy and mothers with gynecological diseases were higher,while the RBC,Plt and hospital stays of the premature infants and the proportion of mothers with regular prenatal examination were lower in group A than those in group B(P＜0.05).The multivariate logistic regression analysis showed that the male,neonatal asphyxia and multiple pregnancy were the independent risk factors,while the increased Plt was the independent protective factor for the mortality of the premature infants(P＜0.01).Conclusion To reduce the mortality of the premature infants,more attention should be paid to the premature infants with high risk factors,such as male,neonatal asphyxia,multiple pregnancy and decreased Plt.
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