ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2022, Vol. 14 ›› Issue (3): 212-215.

• 临床研究 • 上一篇    下一篇

新生儿血清维生素D水平对呼吸衰竭的影响

  

  • 出版日期:2022-06-25 上线日期:2023-12-01

Effect of serum vitamin D level on respiratory failure in neonates

  • Published:2022-06-25 Online:2023-12-01

摘要: 目的 探讨新生儿血清维生素D水平对呼吸衰竭的影响。方法 选取2018年6月至2020年6月在本院收治且明确诊断为呼吸衰竭的新生儿149例,同期选取本院出生的健康新生儿208例作为健康对照组,收集并整理两组新生儿的临床资料,包括性别、居住地区、父母年龄、出生体质量、胎龄等基本情况;围产期指标和所患新生儿疾病。结果 呼吸衰竭组新生儿血清维生素D水平为21.6(14.60,24.00)μg/L,低于健康对照组25.32(24.00,26.37)μg/L,两组差异有统计学意义(P<0.05);多因素Logistic回归模型分析显示,早产、肺部感染是新生儿发生呼吸衰竭的独立危险因素(P<0.05),5分钟Apgar评分、血清维生素D水平是新生儿发生呼吸衰竭的保护因素(P<0.05)。相关性检验分析结果显示,5分钟Apgar评分和新生儿血清维生素D水平呈正相关(P=0.01)。结论 新生儿呼吸衰竭发生与多种因素密切相关,血清维生素D缺乏是其中因素之一。

关键词:

呼吸衰竭, 维生素D, 影响因素, 新生儿

Abstract:

ObjectiveTo investigate the effect of serum vitamin D level on respiratory failure in neonates.MethodsTotally 149 neonates with respiratory failure treated in our hospital from June 2018 to June 2020 were selectedand 208 healthy neonates born in our hospital during the same period were selected as the healthy control group. The clinical data of the two groups were collected and sorted, including gender, residential area, age of parents, body mass at birth and gestational age, as well as peripartum indexes and neonatal diseases.ResultsThe serum vitamin D level of the neonates in respiratory failure group was 21.6(14.6024.00)μg/Llower than that of healthy control group25.32(24.0026.37)μg/L, the difference between the two groups being statistically significant(P<0.05). Multivariate logistic regression analysis showed that preterm birth and pulmonary infection were independent risk factors for neonatal respiratory failure(P<0.05), 5-minute Apgar score and serum vitamin D level were protective factors for neonatal respiratory failure(P<0.05). Correlation analysis showed that there was a positive correlation between 5-minute Apgar score and neonatal serum vitamin D level(P=0.01).ConclusionThe occurrence of respiratory failure in the newborn is closely related to many factorsand the deficiency of serum vitamin D is one of them.

Key words:

Respiratory failure, Vitamin D, Influencing factors, Neonate