| 杨艳,王琼.足月新生儿视网膜出血相关因素分析[J].安徽医药,2019,23(11):2251-2253. |
| 足月新生儿视网膜出血相关因素分析 |
| Analysis of related clinical factors of full?term neonatal retinal hemorrhage |
| |
| DOI：10.3969/j.issn.1009?6469.2019.11.035 |
| 中文关键词: 视网膜出血 分娩方式 危险因素 足月儿 |
| 英文关键词: Retina hemorrhage Delivery methods Risk factors Full?term neonatal |
| 基金项目: |
|
| 摘要点击次数: 1869 |
| 全文下载次数: 592 |
| 中文摘要: |
| 目的探讨影响足月新生儿视网膜出血的相关因素。方法 2017年 1—10月安徽省妇幼保健院应用数字化广域眼底成像系统对出生的足月新生儿进行眼底检查，按照检查结果分为视网膜出血组与无视网膜出血组。同时记录受检新生儿及母亲相关临床因素进行单因素分析、 logistic回归分析。结果共检查 10 215例足月新生儿，检出视网膜出血 2 213例( 21.66%)。两组相关临床因素进行单因素分析显示:母亲存在妊娠高血压、妊娠糖尿病、产次( 2胎及以上)、人工受孕、多胎、新生儿出生体质量、分娩方式的差异有统计学意义( P＜0.05)。对单因素分析差异有统计学意义的临床因素进行 logistic回归分析显示:经阴道分娩( OR＝16.149，P＜0.001)与产次( 2胎及以上)(OR＝1.533，P＜0.001)是视网膜出血主要的危险因素，出生体质量 ≥ 4 000 g(OR＝0.757，P＜0.01)对发生视网膜出血有一定的保护作用。进一步分析经阴道分娩的两组新生儿产程，发现急产(χ2＝ 28.093，P＜0.001)、滞产(χ2＝5.037，P＜0.05)差异有统计学意义。结论足月新生儿视网膜出血发生率为 21.66%，经阴道分娩、产次(2胎及以上)是视网膜出血主要的危险因素。在经阴道分娩的新生儿中，急产、滞产也是视网膜出血不容忽视的影响因素。 |
| 英文摘要: |
| Objective To investigate the related factors affecting retinal hemorrhage in full?term neonates.Methods A fundus ex? amination of full?term neonates was performed using a digital wide?area fundus imaging system，which were divided into two groups: retinal hemorrhage and non?retinal hemorrhage.Meantime，the clinical factors of the newborns and mothers were recorded for analy? sis.Results From January 2017 to October，a total of 10 215 full?term neonatal were examined，and 2 213 cases(21.66%)were detected by retinal hemorrhage.Monofactor analysis in the two groups showed that there were significant differences in gestationalhypertension，gestational diabetes，times of delivery(2 or more)， assisted reproductive technology，multiple pregnancy，neonatal birth weight，and delivery methods(P＜0.05).Logistic regression analysis showed that vaginal delivery(OR＝16.149，P＜0.001) and times of delivery(2 or more)( OR＝1.533，P＜0.001)were the main risk factors of retinal hemorrhage，birth weight≥4 000 g(OR＝0.775，P＜0.01)have a certain protective effect on retinal hemorrhage.Further analysis of the two groups of neonatal laborduring vaginal delivery showed that urgent delivery(χ2＝28.093，P＜0.001)and prolonged labor(χ2＝5.037，P＜0.05)was differ? ences.Conclusion The incidence of retinal hemorrhage in full?term neonates was 21.66%.Vaginal delivery and times of delivery(2 or more)were the main risk factors.In neonates who are delivered vaginally，urgent delivery and prolongded labor are also fac? tors of retinal hemorrhage. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
