早产儿呼吸暂停病因分析与管理

目的:了解早产儿呼吸暂停的病因,探讨对呼吸暂停的合理有效管理。方法:对116例早产儿呼吸暂停进行回顾性分析。结果:胎龄越小原发性呼吸暂停的发生率越高;随着胎龄的增加,继发性呼吸暂停发生率增加。在继发性呼吸暂停的原发病构成中,呼吸系统疾病居首位。结论:对发生呼吸暂停的早产儿应进行重点监护、及时治疗,以降低死亡率,避免后遗症的发生。通过合理有效的管理可使呼吸暂停症状减轻,甚至缓解。

Etiological analysis and management of apnea in premature infants

Objective:To understand the etiology of apnea in premature infants,explore reasonable and effective management of apnea.Methods:116 premature infants with apnea were analyzed retrospectively.Results:The premature infants with small fetal age had high incidence of primary apnea;the incidence of secondary apnea increased with fetal age;the proportion of respiration system diseases was the highest among secondary apnea.Conclusion:Intensive monitoring and timely treatment should be given to the premature infants with apnea in order to reduce mortality and avoid sequelae;reasonable and effective management may alleviate even relieve the symptoms of apnea.