足月儿和近足月儿的临床近期预后对比分析

目的：对比分析足月儿与近足月儿（34W≤胎龄〈37W）近期预后情况。方法：2006年7月~2009年7月我院出生足月儿5042例和近足月儿215例,从中随机抽取足月儿180例和近足月儿130例,收集包括母亲的孕期并发症、分娩方式、羊水情况、新生儿出生重量和Apgar评分等临床资料,比较足月儿和近足月儿的临床近期预后（体温不稳定、呼吸困难、黄疸、低血糖及住院天数）有无差异。结果：足月儿与近足月儿体温不稳定发生率（分别为5.6%与29.2%）,呼吸困难发生率（分别为13.9%与47.7%）,黄疸发生率（分别为35.6%与58.5%）,低血糖发生率（分别为5.0%与16.2%）,差异均有统计学意义（P〈0.05）。足月儿与近足月儿平均住院时间（分别为4 d与9 d）比较,差异有统计学意义（P〈0.05）。结论：与足月儿比较,近足月儿临床近期并发症的发生率更高,住院时间长,近期预后差,因此临床应对近足月儿的护理和治疗重视。

Full-term Children and nearly full-term Prognosis of Children with Clinical Comparative Analysis

Objective：Comparative analysis of full-term children and nearly full-term children（34weeks≤Gestational age37weeks recent prognosis.Methods：July 2006-July 2009 full-term children born in our hospital from 5042 cases and 215 cases of near full-term children.Full-term children were randomly selected from 180 cases and 130 cases of near full-term children,Collection,including the mother＇s pregnancy complications,mode of delivery, amniotic fluid,birth weight and Apgar score and other clinical data,Comparison of full-term children,and nearly full-term prognosis of children with clinical（body temperature instability,respiratory distress,jaundice,hypoglycemia and hospitalization days） were compared.Results： Full-term children and nearly full-term children the incidence of temperature instability（5.6% and 29.2%）,the incidence of respiratory problems（13.9% and 47.7%）,jaundice incidence rate（respectively 35.6% and 58.5%）,incidence of hypoglycemia（5.0% and 16.2%）,the differences were statistically significant（P〈0.05）.Children and nearly full-term child term average length of stay（4 days respectively,and 9 days）,the difference was statistically significant（P〈0.05）.Conclusoin： Compared with full-term children,nearly full-term children the incidence of clinical complications of more recent,hospital stay,short-term prognosis is poor,so close to term clinical response to care and treatment of children with attention.