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目的住院早产儿并发症回顾性分析12年的变化。方法对本院1994年1月~2005年12月期间住院的1378例早产儿的临床资料进行回顾性病例分析。结果前后6年比较,后6年住院早产儿中低胎龄(6·7%,13·6%)、低出生体重(11·3%,14·9%)早产儿比例增加;本组早产儿死亡74例,病死率为5·4%,后6年病死率较前6年下降(8·5%,3·6%)。住院早产儿并发症前后6年比较,湿肺(2·8%,5·2%)、酸中毒(1%,3·7%)、咽下综合征(3·0%,4·5%)和低血糖(10·5%,14·2%)的发生率升高,而肺炎(18·9%,10·8%)、硬肿症(4·5%,1·1%)、肺出血(4·9%,1·8%)和缺氧缺血性脑病(4·5%,2·3%)的发生率下降。结论经前后6年比较,我院住院早产儿中低胎龄、低出生体重的比例增加,病死率下降;部分早产儿严重并发症发生率下降。
Objective To analyze the 12-year changes of the complications of hospitalized premature infants. Methods The clinical data of 1378 premature infants hospitalized in our hospital from January 1994 to December 2005 were retrospectively analyzed. The results showed that the proportion of premature infants with low birth weight (6.7%, 13.6%) and low birth weight (11.3%, 14.9% There were 74 deaths, with a mortality rate of 5.4% and a six-year mortality rate of 8.5% (3.6%) compared with the previous 6 years. Compared with 6 years before and after the complications of hospitalized premature infants, the rates of wet lung (2.8%, 5.2%), acidosis (1-3%), swallowing syndrome (3.0% ) And hypoglycaemia (10.5%, 14.2%). The incidence of pneumonia (18.9%, 10.8%), sclerema (4.5%, 1.1%), The incidence of pulmonary hemorrhage (4.9%, 1.8%) and hypoxic ischemic encephalopathy (4.5%, 2.3%) decreased. Conclusions After 6 years’ comparison, the proportion of low birth weight and low birth weight in preterm infants hospitalized in our hospital increased and the case fatality rate decreased. The incidence of serious complications in some premature infants decreased.