[1]童 玲,王慧琴.基于Logistic回归模型的足月新生儿呼吸窘迫综合征相关因素分析[J].医学信息,2020,33(19):91-93.[doi:10.3969/j.issn.1006-1959.2020.19.026]
 TONG Ling,WANG Hui-qin.Analysis of Related Factors of Full-term Neonatal Respiratory Distress Syndrome Based on Logistic Regression Model[J].Medical Information,2020,33(19):91-93.[doi:10.3969/j.issn.1006-1959.2020.19.026]
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基于Logistic回归模型的足月新生儿呼吸窘迫综合征相关因素分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年19期
页码:
91-93
栏目:
临床研究
出版日期:
2020-10-01

文章信息/Info

Title:
Analysis of Related Factors of Full-term Neonatal Respiratory Distress Syndrome Based on Logistic Regression Model
文章编号:
1006-1959(2020)19-0091-03
作者:
童 玲王慧琴
安徽省妇幼保健院新生儿科,安徽 合肥 230001
Author(s):
TONG LingWANG Hui-qin
Department of Neonatology,Anhui Maternal and Child Health Hospital,Hefei 230001,Anhui,China
关键词:
新生儿呼吸窘迫综合征危险因素剖宫产Logistic回归分析
Keywords:
Neonatal respiratory distress syndromeRisk factorsCesarean sectionLogistic regression analysis
分类号:
R722.19
DOI:
10.3969/j.issn.1006-1959.2020.19.026
文献标志码:
A
摘要:
目的 分析发生新生儿呼吸窘迫综合征(NRDS)的影响因素。方法 收集2014年1月~2018年12月我院85例呼吸窘迫综合征足月新生患儿设为实验组,104例同期未被诊断为呼吸窘迫综合征足月新生儿设为对照组,比较两组性别,胎龄,出生体重,分娩方式,产妇年龄,怀孕次数,流产史和妊娠并发症等临床资料。将单因素分析有统计学差异的项目进入多因素Logistic回归,分析RDS的影响因素。结果 两组性别、胎龄、分娩方式、产妇多胎、妊娠期糖尿病、胎儿宫内窘迫和新生儿窒息比较,差异有统计学意义(P<0.05)。两组新生儿体重、产妇年龄、流产史、产妇妊高症、胎膜早破、羊水过少和胎粪污染比较,差异无统计学意义(P>0.05)。Logistic回归分析显示,新生儿男性、剖宫产、多胎和妊娠期糖尿病为NRDS的危险因素。结论 足月儿NRDS的危险因素为男性,剖宫产、多胎和产妇妊娠期糖尿病。早期识别NRDS相关危险因素对病情控制有积极意义。
Abstract:
Objective To analyze the influencing factors of neonatal respiratory distress syndrome (NRDS).Methods A total of 85 full-term newborns with respiratory distress syndrome in our hospital from January 2014 to December 2018 were collected as the experimental group, and 104 full-term newborns with respiratory distress syndrome not diagnosed in the same period were selected as the control group. Two groups of clinical data such as gender, gestational age, birth weight, mode of delivery, maternal age, number of pregnancy, miscarriage history and pregnancy complications. The items with statistical differences in univariate analysis were entered into multivariate Logistic regression to analyze the influencing factors of RDS.Results There were statistically significant differences between the two groups in gender, gestational age, delivery mode, multiple births, gestational diabetes, fetal distress and neonatal asphyxia (P<0.05). There was no significant difference between the two groups of newborn weight, maternal age, history of miscarriage, pregnancy-induced hypertension, premature rupture of membranes, oligohydramnios, and meconium contamination (P>0.05). Logistic regression analysis showed that newborn males, cesarean section, multiple births and gestational diabetes were risk factors for NRDS.Conclusion The risk factors for NRDS in term infants were male, cesarean section, multiple births and maternal gestational diabetes. Early identification of NRDS-related risk factors was of positive significance for disease control.

参考文献/References:

[1]Sweet DG,Carnielli V,Greisen G,et al.European Consensus Guidelines on the Management of Respiratory Distress Syndrome-2019 Update[J].Neonatology,2019,115(4):432-450. [2]Condò V,Cipriani S,Colnaghi M,et al.Neonatal respiratory distress syndrome: are risk factors the same in preterm and term infants[J].J Matern Fetal Neonatal Med,2017,30(11):1267-1272. [3]Griffiths MJD,McAuley DF,Perkins GD,et al.Guidelines on the management of acute respiratory distress syndrome[J].BMJ Open Respir Res,2019,6(1):e000420. [4]Mei H,Zhang Y,Liu C,et al.Messenger RNA sequencing reveals similar mechanisms between neonatal and acute respiratory distress syndrome[J].Mol Med Rep,2018,17(1):59-70. [5]Wang J,Liu X,Zhu T,et al.Analysis of neonatal respiratory distress syndrome among different gestational segments[J].Int J Clin Exp Med,2015,8(9):16273-16279. [6]Dani C,Reali MF,Bertini G,et al.Risk factors for the development of respiratory distress syndrome and transient tachypnoea in newborn infants[J].Eur Respir J,1999,14(1):155-159. [7]麻伟博.新生儿呼吸窘迫综合征发病危险因素的Logistic回归分析[J].中华肺部疾病杂志(电子版),2016,9(2):182-184. [8]Kim SS,Park IS,Hong HS.Neonatal arterial thromboembolism and limb loss following respiratory distress syndrome:case report[J].Arch Argent Pediatr,2015,113(3):e157-e160. [9]Bresson E,Seaborn T,Coté M,et al.Gene expression profile of androgen modulated genes in the murine fetal developing lung[J].Reprod Biol Endocrinol,2010(8):2. [10]Roth-Kleiner M,Wagner BP,Bachmann D,et al.Respiratory distress syndrome in near-term babies after caesarean section[J].Swiss Med Wkly,2003,133(19-20):283-288. [11]Altman M,Vanpée M,Cnattingius S,et al.Risk factors for acute respiratory morbidity in moderately preterm infants[J].Paediatr Perinat Epidemiol,2013,27(2):172-181. [12]Liu J,Yang N,Liu Y.High-risk factors of respiratory distress syndrome in term neonates:a retrospective case-control study[J].Balkan Med J,2014,31(1):64-68. [13]Li Y,Wang W.Maternal diabetes mellitus and risk of neonatal respiratory distress syndrome:a meta-analysis[J].Acta Diabetol,2019,56(7):729-740.

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更新日期/Last Update: 1900-01-01