Risk factors associated with respiratory distress syndrome in late preterm infants.

IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Hongbin Zhu, Yueyi Wang, Haiwei Yin, Fang Liu, Yanfei Ma, Xinyue Li
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引用次数: 0

Abstract

Objective: To investigate the risk factors for neonatal respiratory distress syndrome (NRDS) in late preterm infants.

Method: A retrospective analysis was performed on the clinical data of 86 late preterm infants with a gestational age of 34-36+6 weeks who were admitted to Maternity & Child Care Center of Qinhuangdao from June 2022 to June 2023 and with complete clinical records. All enrolled infants were divided into the non-NRDS group(n=51) and the NRDS group(n=35) according to the presence or absence of NRDS.

Result: No statistically significant differences were observed in birth weight, gestational age and gravidity between the two groups(p>0.05), while there were statistically significant differences in fetal gender, mode of delivery and presence or absence of asphyxia(p<0.05). Moreover, no statistically significant differences were found in advanced maternal age, anemia, multiple births, and gestational hypertension(p>0.05), while there were statistically significant differences in placental abnormalities, intrauterine distress, premature rupture of membranes, and gestational diabetes mellitus(p<0.05). Logistic regression analysis revealed that fetal gender(male), placental abnormalities, intrauterine distress, premature rupture of membranes, and gestational diabetes mellitus were risk factors for NRDS in late preterm infants(p<0.05).

Conclusion: Late preterm infants suffer from NRDS due to a variety of complex pathogenic causes, with numerous complications. Factors such as male fetal gender, placental abnormalities, intrauterine distress, premature rupture of membranes, and gestational diabetes mellitus may increase the risk of NRDS in late preterm infants. In clinical observation, it is necessary to strengthen monitoring efforts and take timely measures to intervene in the course of NRDS.

与晚期早产儿呼吸窘迫综合征相关的风险因素。
目的:研究晚期早产儿患新生儿呼吸窘迫综合征(NRDS)的风险因素:研究晚期早产儿患新生儿呼吸窘迫综合征(NRDS)的风险因素:方法:对秦皇岛市妇幼保健院2022年6月至2023年6月收治的86例胎龄34-36+6周、临床资料完整的晚期早产儿的临床资料进行回顾性分析。根据有无NRDS将所有入组婴儿分为非NRDS组(51例)和NRDS组(35例):结果:两组婴儿的出生体重、胎龄和孕周差异无统计学意义(P>0.05),而胎儿性别、分娩方式和有无窒息差异有统计学意义(P0.05)。此外,高龄产妇、贫血、多胞胎和妊娠高血压的差异无统计学意义(P>0.05),而胎盘异常、宫内窘迫、胎膜早破和妊娠糖尿病的差异有统计学意义(P0.05)。逻辑回归分析显示,胎儿性别(男性)、胎盘异常、宫内窘迫、胎膜早破和妊娠糖尿病是晚期早产儿发生 NRDS 的风险因素(P0.05):晚期早产儿罹患 NRDS 的病因复杂,并伴有多种并发症。男性胎儿性别、胎盘异常、胎儿宫内窘迫、胎膜早破、妊娠糖尿病等因素都可能增加晚期早产儿发生 NRDS 的风险。在临床观察中,有必要加强监测力度,在 NRDS 发生过程中及时采取措施进行干预。
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来源期刊
Pakistan Journal of Medical Sciences
Pakistan Journal of Medical Sciences 医学-医学:内科
CiteScore
4.10
自引率
9.10%
发文量
363
审稿时长
3-6 weeks
期刊介绍: It is a peer reviewed medical journal published regularly since 1984. It was previously known as quarterly "SPECIALIST" till December 31st 1999. It publishes original research articles, review articles, current practices, short communications & case reports. It attracts manuscripts not only from within Pakistan but also from over fifty countries from abroad. Copies of PJMS are sent to all the import medical libraries all over Pakistan and overseas particularly in South East Asia and Asia Pacific besides WHO EMRO Region countries. Eminent members of the medical profession at home and abroad regularly contribute their write-ups, manuscripts in our publications. We pursue an independent editorial policy, which allows an opportunity to the healthcare professionals to express their views without any fear or favour. That is why many opinion makers among the medical and pharmaceutical profession use this publication to communicate their viewpoint.
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