摘要
目的探讨早产儿发生喂养不耐受(FI)的危险因素,提高早产儿的喂养成功率。方法对158例早产儿进行回顾性调查分析。对产前和产后l5个因素进行单因素分析,采用Logistic回归分析单一危险因素、合并2种或3种危险因素与早产儿发生FI的相关性。结果 158例早产儿中发生FI共61例,对单因素分析筛选的11个与早产儿FI有关的危险因素,进行Binary Logistic回归分析显示:胎龄、胎盘毛糙或粘连、窒息、低氧血症、性别是早产儿FI发病的危险因素,对同时合并2种、3种多危险因素的病例,与单一的危险因素的病例进行Binary Logistic回归分析,显示胎龄、胎龄合并胎盘毛糙或粘连、胎龄合并低氧血症、胎盘毛糙或粘连合并窒息是FI发病的高危因素。结论小胎龄、小胎龄合并胎盘毛糙或粘连、小胎龄合并低氧血症、胎盘毛糙或粘连合并窒息的早产儿更容易发生FI,在早产儿胃肠道管理时需采取综合防治措施,提高早产儿存活率。
Objective Discussion the risk factors of feeding intolerance in preterm infants,to improve the success rate of the feeding of premature infants.Methods 158 cases of premature infants were investigated retrospectively analysis.Fifteen factors of prenatal and postnatal were analysis by univariate method,Logistic regression were performed to determine the occurrence of single risk factor、merge two or three kinds of risk factors with premature infant FI.Results 158 cases of premature infants had occurred in 61 cases of FI,occurred at a rate of 38.61%.There were eleven FI-related risk factors screened through univariate analysis,Binary Logistic regression analysis showed that gestational age,placental coarse or adhesion,asphyxia,hypoxemia and sex were the risk factors for the preterm infants with FI,the cases which incorporated two or three of the risk factor,and the cases of single risk factors were made by Binary Logistic regression analysis,gestational age、gestational age with placenta rough or adhesion、gestational age merge with hypoxemia、placenta rough or adhesion combine with asphyxia were the high risk factors of FI.Conclusion The infants who were the low of gestational age、the low of gestational age with placenta rough or adhesion、the low of gestational age merge with hypoxemia、placenta rough or adhesions combined combine with asphyxia would be more prone to FI.In preterm gastrointestinal management should pay attention to adopt comprehensive prevention and control measures,improve the survival rate of premature infants.
出处
《四川医学》
CAS
2012年第7期1150-1153,共4页
Sichuan Medical Journal
关键词
早产儿
喂养
不耐受
高危因素
premature infant
feeding
intolerance
risk factors
