转运早期早产儿对其脑室内出血的影响及其对策探讨

目的探讨搬运早期早产儿对其脑室内出血(IVH)的影响,并研究其对策。方法以1998年1月到2007年10月我院收治的206例早期早产儿为研究对象。设为三组:A组,无搬运组;B组,有搬运组,且搬运前未预防性使用苯巴比妥;C组,有搬运组,但搬运前半小时预防性地使用了苯巴比妥。再比较三组早产儿IVH的发生率。结果三组早产儿IVH发生率明显不同,A组、B组、C组分别为36.4%(24/66)、82.8%(72/87),56.6%(30/53),经统计学处理有非常显著性意义。结论搬运早期早产儿易使其IVH发生率明显增加,因此对于早期早产儿应尽量避免搬运,以减少其脑室内出血(IVH)的发生率;若必须搬运则可在搬运前半小时预防性地运用苯巴比妥,便可部分地减少其脑室内出血的发生率。

Effect of transfering early premature infants on intraventricular hemorrhage and countermeasure discussion

Obieetive To study the effect of transfering early premature infants on intraventricular hemorrhage(IVH) as well as the methods of dealing with this.Methods 206 premature infants were born and treated in our hospital from Jan.1998 to Oct.2007.Divided the 206 infants into three groups: A Group(not moved),B Group(moved but phenobarbitone was not used preventively before movement and C Group(moved and phenobarbitone was used preventively 30 mins before movement).Then compared the incidence rates of IVH between three group.Results The incidence of IVH bwtween A group,B group and C group were 36.4%,82.8%,and 56.6% respectively,there were statisticly significance.Conclusion Transfering early premature infants will increase easily the incidence of IVH.If the infants must be moved,use phenobarbitone preventively 30 minutes before movement so as to partly reduce the incidence of IVH.