足月新生儿呼吸窘迫综合征高危因素分析

<正>新生儿呼吸窘迫综合征(neonatal respiratory distress syndrome,RDS)为肺表面活性物质(PS)缺乏所致,是引起新生儿呼吸衰竭和死亡的常见原因,多见于早产儿,胎龄越小发病率越高,生后数小时出现进行性呼吸困难、青紫、呼吸衰竭等症1]。因此,探讨足月儿RDS发生的危险因素,对其预防、早期诊断和早期治疗具有重要意义。现将我院新生儿科2009年1月—2014年7月收治的足月儿RDS的资料进行

The risk factors of full-term neonatal respiratory distress syndrome

Objective To analysis full-term neonatal respiratory distress syndrome (RDS) risk factors. Methods From January 2009 to July 2014 in our hospital new pediatric hospital, diagnosis for the full term of RDS 90 cases as patients group, at the same time, full term 90 cases not been diagnosised as RDS as control group. Through retrospectively analysis to gestational age, sex, childbirth way,birth asphyxia, gestational hypertention, gestational diabetes, premature rupture of membranes, and the birth weight in twogroups. Carrying on the single factor analysis of variance, and Logistic multifactor regression analysis, to explore the risk factors of full term RDS. Results The Logistic regression analysis showed male (OR = 2.794, 95% CI: 1.162 ~ 6.717), selective cesarean section (OR = 5.252, 95% CI: 2.329 ~ 11.864), birth asphyxia (OR = 2.896, 95% CI: 1.334 ~ 6.287), premature rupture of membranes (OR = 4.876, 95% CI: 2.096 ~ 11.345) are risk factors for full term RDS. Conclusion male, selective cesarean delivery, birth asphyxia, premature rupture of membranes are high risk factors of the full moon RDS.