發(fā)布時(shí)間：2019-06-21 01:17

【摘要】：目的：了解廣西醫(yī)科大學(xué)第一附屬醫(yī)院早產(chǎn)兒氧治療（簡稱氧療）情況，總結(jié)該院早產(chǎn)兒氧療的管理狀況，，并對氧療并發(fā)癥相關(guān)危險(xiǎn)因素進(jìn)行分析。 方法：回顧性分析2010年1月至2011年6月在廣西醫(yī)科大學(xué)第一附屬醫(yī)院新生兒病房及NICU住院進(jìn)行過氧療的122例早產(chǎn)兒，比較不同性別、胎齡、出生體重、原發(fā)病進(jìn)行氧療的情況，分析氧療前的臨床表現(xiàn)和血?dú)夥治霾⒃u估氧療應(yīng)用指征，分析氧療時(shí)的吸入氧濃度（FiO_2）、氧療持續(xù)時(shí)間及氧療與并發(fā)癥的關(guān)系，總結(jié)氧療相關(guān)的高危因素。 結(jié)果：1、2010年1月至2011年6月在廣西醫(yī)科大學(xué)第一附屬醫(yī)院新生兒病房及NICU住院的早產(chǎn)兒共394例，其中接受氧療的早產(chǎn)兒122例，占31.0%。2、出生體重＜1500g的早產(chǎn)兒接受氧療人數(shù)的比例高于出生體重≥1500g的（χ~2=56.699,P＜0.05），胎齡＜34周接受氧療的比例高于胎齡≥34周（χ~2=98.780,P＜0.05）。3、氧療前均有不同程度的臨床呼吸困難的表現(xiàn)，氧療前血?dú)夥治鲋袆用}血氧分壓（PaO_2）以機(jī)械通氣前最低（45.47±13.52） mmHg。4、早產(chǎn)兒視網(wǎng)膜�。≧OP）的篩查率為55.13%。5、ROP組的氧療時(shí)間中位數(shù)大于非ROP組的（ROP組:384.75h；非ROP組:130.50h），支氣管肺發(fā)育不良（BPD）組的氧療時(shí)間中位數(shù)明顯大于非BPD組的（BPD組：523.00h；非BPD組：81.00h）。 結(jié)論：1、早產(chǎn)兒接受氧療的比例較高，其中以出生體重低和胎齡小的早產(chǎn)兒為著；2、本研究絕大部分早產(chǎn)兒氧療都是規(guī)范的；3、安全用氧意識和ROP篩查意識仍需進(jìn)一步強(qiáng)化；4、長時(shí)間氧療需注意并發(fā)癥的發(fā)生。
[Abstract]:Objective: to investigate the oxygen therapy (oxygen therapy) of premature infants in the first affiliated Hospital of Guangxi Medical University, summarize the management of oxygen therapy in premature infants, and analyze the risk factors related to the complications of oxygen therapy. Methods: from January 2010 to June 2011, 122 premature infants who underwent oxygen therapy in neonatal ward and NICU of the first affiliated Hospital of Guangxi Medical University were analyzed retrospectively. the sex, gestational age, birth weight and primary incidence of oxygen therapy were compared. The clinical manifestations and blood gas analysis before oxygen therapy were analyzed and the indications of oxygen therapy were evaluated. The inhaled oxygen concentration (FiO_2) during oxygen therapy was analyzed. The duration of oxygen therapy and the relationship between oxygen therapy and complications were summarized, and the high risk factors related to oxygen therapy were summarized. Results: 1. A total of 394 premature infants were hospitalized in neonatal ward and NICU of the first affiliated Hospital of Guangxi Medical University from January 2010 to June 2011. Among them, 122 premature infants (31.0%) received oxygen therapy. 2. The proportion of premature infants with birth weight less than 1500 g was higher than that with birth weight 鈮

本文編號：2503675