新生儿颅脑损伤的产科因素分析

摘要

目的 探讨影响新生儿颅脑损伤的产科因素.方法 选取2015-03-2016-08于我院进行分娩,后转入儿科并接受颅脑超声检查后确诊为颅脑损伤的患者40例(观察组),选取同期非颅脑损伤患者40例为对照组,对2组临床资料进行回顾性分析.结果 孕周小、新生儿体质量轻会增加新生儿脑损伤的风险,复杂性单绒毛膜双胎也是引发新生儿颅脑损伤的重要危险因素.结论 分娩孕周越早,新生儿发生颅脑损伤的风险越高,特别是＜30周且新生儿体质量＜1.5 kg时,风险系数明显增高,复杂性单绒毛膜双胎也是导致新生儿发生颅脑损伤的重要危险因素.%Objective To investigate the effects of obstetric factors on neonatal craniocerebral trauma.Methods We selected 40 cases as the observation group,who had been diagnosed with craniocerebral injury by craniocerebral ultrasonic examination after delivery in our hospital from March 2015 to August 2016.At the same time,we chose 40 patients who were diagnosed as non-trauma brain injury as the control group.The clinical data of two groups were analyzed retrospectively.Results Shorter duration of pregnancy and lower birth weight may increase the risk of the occurrence of neonatal cerebral injury.Meanwhile,complicated monochorionic twin pregnancy was also a risk factor of neonatal brain injury.Conclusion The duration of pregnancy is a risk factor of neonatal brain injury,especially in patients with a gestational age less than 30 weeks and birth weight less than 1.5 kg.Complicated monochorionic twin pregnancy may also increase the risk of neonatal craniocerebral trauma.