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

中国中西医结合儿科学 ›› 2022, Vol. 14 ›› Issue (3): 232-234.

• 临床研究 • 上一篇    下一篇

早产儿贫血的危险因素分析

  

  • 出版日期:2022-06-25 上线日期:2023-12-01

Analysis of risk factors for anemia in premature infants

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

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摘要： 目的 探讨早产儿贫血的危险因素。方法 回顾性选取我院2017年1月至2021年1月收治的早产儿152例，对其临床基本资料进行分析与整理，按照是否发生贫血分为贫血组(57例)和非贫血组(95例),统计两组临床基本资料并进行单因素分析，对其中差异有统计学意义的因素进行多因素Logistic回归分析筛选独立危险因素。结果 单因素分析结果显示，贫血组早产儿的胎龄小于非贫血组，出生体质量轻于非贫血组，出生血红蛋白水平低于非贫血组，住院时间、黄疸持续时间长于非贫血组，微量采血总次数、静脉采血总次数、采血气总次数多于非贫血组，有孕母子痫前期、有孕母贫血的早产儿占比均高于非贫血组(P<0.05),多因素非条件Logistic回归分析结果显示，住院时间长、微量采血总次数多、出生体质量轻、出生血红蛋白水平低均为早产儿贫血的危险因素(OR=1.861,2.085,1.539,1.870,P<0.05)。结论 早产儿发生贫血与多因素有关，临床需注意对其危险因素进行有效防治，减少早产儿贫血的发生，并提高早产儿机体各项功能，进而促进其快速恢复。

关键词:

贫血, 危险因素, 早产儿

Abstract:

ObjectiveTo explore the risk factors for anemia in premature infants.MethodsA retrospective selection of 152 premature infants admitted to our hospital from January 2017 to January 2021 was performed. The basic clinical data were analyzed and sorted. According to whether anemia occurred, they were divided into anemia group(57 cases) and no-anemia group(95 cases). The basic clinical data of the two groups were counted and single factor analysis was performed, and multivariate logistic regression analysis was performed on the factors with statistically significant differences to screen for independent risk factors.ResultsUnivariate analysis showed that the gestational age of premature infants in the anemia group was smaller than that of the no-anemia group, the birth weight was lighter than that of the no-anemia group, the serum Hb level at birth was lower than that of the no-anemia group, the length of hospital stay and the duration of jaundice were longer than those in the no-anemia group, and the total number of microvolume blood sampling, the total number of venous blood sampling, and the total number of blood and gas sampling were more than those of the no-anemia group. The proportion of premature infants of mothers with preeclampsia or anemia of anemia group was higher than that of the no-anemia group(P<0.05).Multi-factor unconditional Logistic regression analysis showed that long hospital stay, high total number of microvolume blood sampling, low birth weight, and low serum Hb levels at birth were all risk factors for anemia in preterm infants(OR=1.861, 2.085, 1.539, 1.870,P<0.05).ConclusionThe occurrence of anemia in preterm infants is related to multiple factors. Clinical attention should be paid to effective prevention and treatment of its risk factors, in order to reduce the occurrence of anemia in preterm infants, improve various body functions of preterm infants, and promote their rapid recovery.

Key words:

Anemia, Risk factors, Premature infant