颅内出血在早产儿中的发病特点、风险因素分析

摘要

Objective:To study the characteristics and risk factors of intracranial hemorrhage in preterm infants.Methods:150 cases of preterm infants who were admitted to our hospital were selected as the target group.The clinical data of 150 premature infants were analyzed retrospectively.The intracranial hemorrhage was divided into 82 cases and 68 cases without intracranial hemorrhage Cases,analysis of intracranial hemorrhage in premature infants characteristics,risk factors.Results:There were significant differences in body weight,gestational age and intracranial hemorrhage in preterm infants with intracranial hemorrhage (P ＜ 0.05).There was significantly higher incidence of pregnancy induced hypertension,diabetes,placenta previa and umbilical cord around the neck in preterm infants with intracranial hemorrhage (P ＜ 0.05);Logistic regression analysis of intracranial hemorrhage showed that birth weight,gestational age,pregnancy-induced hypertension,diabetes mellitus,placenta previa,umbilical cord around the neck of the results were statistically significant,Out of the group of bleeding in the main parts of intraventricular hemorrhage.Conclusion:Low birth weight,gestational age and maternal hypertension,diabetes mellitus,placenta previa and umbilical cord around the neck are the risk factors of intracranial hemorrhage in premature infants.%目的:探究颅内出血在早产儿中的发病特点、风险因素.方法:抽取来我院就医的150例早产儿作为目标对象,对150例早产儿的临床资料进行回顾性分析,结合早产儿是否存在颅内出血将其分为颅内出血组82例和无颅内出血组68例,分析颅内出血早产儿的发病特点、风险因素.结果:颅内出血早产儿的体质量、胎龄和无颅内出血早产儿存在显著差异,P ＜0.05,颅内出血组早产儿母体存在妊娠高血压、糖尿病、前置胎盘及脐带绕颈的比例显著多于对照组,P＜0.05;对颅内出血进行Logistic回归分析可知,出生体重、胎龄、妊娠高血压、糖尿病、前置胎盘、脐带绕颈的结果均具有统计学意义,P＜0.05;其中颅内出组患儿的出血部位以脑室内出血为主.结论:出生低体重、胎龄小及母体存在妊娠高血压、糖尿病、前置胎盘、脐带绕颈是导致早产儿出现颅内出血的高危因素.