摘要
目的 分析早产儿血小板减少症的危险因素.方法 选取 2020 年1月至 2022 年12 月内蒙古自治区妇幼保健院收治的 310 例血小板减少症早产儿作为研究组,另选取 310 例非血小板减少症早产儿为对照组.收集并分析两组围产期资料、合并症情况.结果 回归分析结果显示,小于胎龄儿、母亲重度先兆子痫、宫内窘迫、败血症、红细胞增多症是早产儿发生血小板减少症的独立危险因素(P<0.05);母亲产前完整糖皮质激素疗程是早产儿发生血小板减少症的保护因素(P<0.05).结论 小于胎龄儿、母亲重度先兆子痫、宫内窘迫、败血症、红细胞增多症可增加早产儿血小板减少症的发生风险,临床应对上述因素给予高度重视.
Abstract
Objective To analyze the risk factors for thrombocytopenia in preterm infants.Methods A total of 310 preterm infants with thrombocytopenia admitted to Inner Mongolia Maternity and Child Health Care Hospital from January 2020 to December 2022 were selected as the study group,and 310 preterm infants without thrombocytopenia were selected as the control group.The perinatal data and complications of the two groups were collected and analyzed.Results The results of regression analysis showed that small for gestational age infant(SGA),severe maternal preeclampsia,intrauterine distress,septicemia,and erythrocytosis were independent risk factors for thrombocytopenia in preterm infants(P<0.05).Maternal complete prenatal glucocorticoid treatment was a protective factor for thrombocytopenia in preterm infants(P<0.05).Conclusion SGA,severe maternal preeclampsia,intrauterine distress,septicemia,and erythrocytosis may increase the risk of thrombocytopenia in preterm infants,and these factors should be given high clinical attention.
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