321例低出生体重儿的高危因素及并发症的临床研究

目的:分析总结低出生体重儿的高危因素及并发症,为指导产科临床工作,降低LBWI发生几率提供依据.方法:对我院收治的低出生体重儿321例进行临床资料收集及整理分析.结果:低出生体重儿高危因素主要是:妊娠期高血压疾病、胎膜早破、双胎、自发早产、前置胎盘等.并发症主要是:贫血、低蛋白血症、病理性黄疸、NRDS、肺炎、败血症、新生儿窒息、脑白质病变、湿肺、先天性心脏病、低血糖、颅内出血、BPD、HIE、NEC.且<34周早产儿发生几率明显升高.结论:通过对低出生体重儿的高危因素及并发症的分析,临床工作中需重视高危人群、提高产检质量、加强危重早产儿的抢救水平以达到早发现、早干预,降低低出生体重儿的并发症,提高存活率.

The Clinical Analysis of Risk Factors and Complications of 321 Cases of Low Birth Weight

Objective:To reduce the risk of LBWI and guide the obstetric clinical work through conclu-ding complications and risk factors of low birth weight. Methods: Clinical data of 321 cases with low birth weight in our hospital was collected and analyzed. Results:Risk factors of low birth weight were mainly gesta-tional hypertension disease, premature rupture of membranes, twins, spontaneous preterm birth and placenta previa, etc. Complications were mainly anemia, hypoalbuminemia, pathological jaundice, NRDS, pneumoni-a, sepsis, neonatal asphyxia, cerebral white matter lesions, wet lung, congenital heart disease, low blood sugar, intracranial hemorrhage, BPD, HIE and NEC. The risk rate of premature births less than 34 weeks in-creased significantly. Conclusions:High-risk groups should be taken seriously in clinical work, the quality of antenatal examination should be improved, and the rescue of critically ill premature infants should be strength-ened, to achieve early detection and intervention, to reduce the complications of low birth weight and improve the survival rate, through the analysis of high-risk factors and complications of low birth weight.