丁素芳++++++刘颖颖++++++武荣

    [摘要] 目的 探讨晚期早产儿呼吸窘迫综合征(RDS)的发生率、高危因素和临床特征。 方法 回顾性分析2010年1月～2013年12月于扬州大学医学院附属淮安市妇幼保健院新生儿医学中心重症监护病房住院治疗、入院时日龄 0.05)。两组患儿其余基本情况比较，差异有统计学意义(P < 0.05)。RDS组患儿胎膜早破发生率低于对照组(P < 0.05)，胎盘异常、胎儿宫内窘迫、CPAP、气管插管、肺出血、持续肺动脉高压、气漏、呼吸机相关性肺炎、颅内出血的发生率均高于对照组(P < 0.05)。Logistic回归分析发现，剖宫产、胎膜早破、瘢痕子宫和社会因素导致的选择性剖宫产是晚期早产儿RDS发病的高危因素(P < 0.05)。 结论 晚期早产儿的RDS发生率较高、其病情较重和并发症较多。胎膜早破、剖宫产、瘢痕子宫和社会因素导致的选择性剖宫产是晚期早产儿RDS发病的高危因素。

    [关键词] 晚期早产儿；呼吸窘迫综合征；胎膜早破；选择性剖宫产；Downes评分

    [中图分类号] R563.8 [文献标识码] A [文章编号] 1673-7210(2017)07(c)-0117-04

    [Abstract] Objective To investigate the incidence， risk factors， clinical features of respiratory distress syndrome (RDS) in the late preterm infants. Methods The clinical data of prematures who were hospitalized and cured in Maternal and Child Healthcare Hospital of Huaian Affiliated to Yangzhou University Medical Academy from January 2010 to December 2013 were retrospectively analyzed. All the prematures who ′s age were less than 72 hours and the gestational age were 34+1-36+6 weeks. Results Participants included 452 cases， RDS group was 152 cases and control group was 300 cases. The incidence rate of RDS in late preterm infants was 33.6% (152/452). There were no statistical significance of two groups in birth weight ......