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早产儿囊性脑室周围白质软化症高危因素探讨
引用本文:王卫,刘晓红,齐利峰,李腾,林英. 早产儿囊性脑室周围白质软化症高危因素探讨[J]. 中国小儿急救医学, 2006, 13(6): 526-527,533
作者姓名:王卫  刘晓红  齐利峰  李腾  林英
作者单位:深圳市儿童医院NICU,广东,深圳,518026
摘    要:目的探讨早产儿囊性脑室周围白质软化症(cPVL)的高危因素。方法对cPVL(12例)与非cPVL早产儿(30例)进行回顾性研究,对多种围产期高危因素进行Logistic回归分析。结果胎膜早破、生后48 h内PaCO2<3.33 kPa(25 mm Hg)、生后4 h内pH<7.25、生后1周内发现脑室周围强回声的OR值分别为2.125、3.312、2.820和3.712(P<0.05或P<0.01)。结论胎膜早破、生后48 h内PaCO2<3.33 kPa、生后4 h内pH<7.25、生后1周内脑室周围有强回声为早产儿cPVL的高危因素。

关 键 词:早产儿  囊性脑室周围白质软化症  危险因素
文章编号:1673-4912(2006)06-0526-03
收稿时间:2006-04-06
修稿时间:2006-04-062006-07-18

High risk factors of cystic periventricular leukomalacia in preterm infants
WANG Wei, LIU Xiao-hong, QI Li- feng,et al.. High risk factors of cystic periventricular leukomalacia in preterm infants[J]. Chinese Pediatric Emergency Medicine, 2006, 13(6): 526-527,533
Authors:WANG Wei   LIU Xiao-hong   QI Li- feng  et al.
Affiliation:WANG Wei, LIU Xiao-hong, QI Li- feng, et al.
Abstract:Objective To investigate the high risk factors of cystic periventricular leukomalacia(cPVL) in preterm infants.Methods Twelve cPVL and thirty non-cPVL preterm infants were studied retrospectively and Logistic regression analysis was used to estimate multiple risk factors in perinatal field.Results Odd ratios of premature rupture of membranes(PROM),PaCO_2<3.33?kPa within the first 48h of life,pH<7.25 within the first 4?h of life,periventricular echodensity(PVE) within the first week of life were 2.125,3.312,2.820 and 3.712 respectively(P<0.05 or P<0.01).Conclusion PROM,PaCO_2<3.33?kPa within the first 48?h of life,pH<7.25 within the first 4?h of life,periventricular echodensity(PVE) within the first week of life are high risk factors of cPVL.
Keywords:Preterm infant  Cystic periventricular leukomalacia  Risk factor
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