新生儿呼吸窘迫综合征临床特点和高危因素分析_陈剑.pdf

当代医学　2010年6月第16卷第16期总第207期　Contemporary Medicine, Jun. 2010,Vol.16 No.16 Issue No.207 doi:10.3969/j.issn.1009-4393.2010.16.020 新生儿呼吸窘迫综合征临床特点和高危因素分析 陈剑 [摘要] 目的 探讨新生儿呼吸窘迫综合征(Neonatal respiratory distress syndrome，NRDS)的临床特点，并对其高危因素进行分析。方法 进行回顾 性分析2007～2010年间，我科新生儿监护病房收治的发生和未发生NRDS新生儿各52例的临床资抖。结果 男性、宫内窒息、宫内窘迫、剖宫产等因 素是NRDS的高危因素；应用肾上腺皮质激素、胎膜早破、产后预防性应用肺表面活性物质(PS)，可显著降低NRDS发病率。结论 新生儿出现NRDS及预 后受多种因素的影响，应防止新生儿出现NRDS各种高危因素，采取措施有效降低新生儿NRDS发生率并改善患儿预后。 [关键词] 新生儿；呼吸窘迫综合征；高危因素分析 [Abstract] Objective To investigate the neonatal respiratory distress syndrome (Neonatal respiratory distress syndrome, NRDS) the clinical features, and its risk factors were analyzed. Methods A retrospective analysis from 2007 to 2010, in our department, the incidence of neonatal intensive care unit was treated with and without NRDS neonatal clinical information of all 52 cases of shaking. Results Men, intrauterine asphyxia, fetal distress, cesarean section and other factors are risk factors for NRDS; application of adrenal cortex hormones, premature rupture of membranes, postpartum prophylactic pulmonary surfactant (PS), can signifi cantly reduce the incidence of NRDS. Conclusion Prognosis of newborns appeared NRDS is infl uenced by many factors and should be prevented the emergence of NRDS various risk factors for neonatal and take measures to reduce the incidence of neonatal NRDS and improve prognosis in children. 学 医 床 临 [Key words] newborn; respiratory distress syndrome; risk factors