[胎母风险因素对极度早产婴儿的死亡率和发病率的影响]
Paula Winkler1, Eva Cloppenburg2, Axel Heep2
1Universitätsklinik für Gynäkologie und Geburtshilfe, Klinikum Oldenburg AoR, Oldenburg, Germany.
Zeitschrift fur Geburtshilfe und Neonatologie
|December 11, 2023
概括
在23至24周之间出生的极度早产婴儿的生存率在整个妊娠年龄组中是相似的. 然而,增加的孕产妇和胎儿风险因素与早产婴儿的死亡率更高显著相关.
科学领域:
- 产周医学 产周医学
- 新生儿科学 新生儿科学
- 孕产妇和胎儿的医学
背景情况:
- 管理有早产风险的孕妇是复杂的.
- 评估孕产妇和胎儿的风险因素对于在生命能力值时的咨询和治疗至关重要.
研究的目的:
- 为了比较早产婴儿的死亡率和发病率,早产婴儿出生在23周和24周之间.
- 分析母亲和胎儿生存风险因素对预后的相关性.
主要方法:
- 在怀孕23 0/7至24 6/7周之间出生的早产婴儿的回顾性观察研究 (2017-2020).
- 根据妊娠年龄,婴儿被分为两组:23 0/7-23 6/7周和24 0/7-24 6/7周.
- 分析了13个风险因素对其对存活率和发病率的影响.
主要成果:
- 包括48名早产婴儿;9名接受了息治疗,并被排除在外.
- 在两个妊娠年龄组之间,生存率没有显著差异 (66.7%和74.1%).
- 增加的风险因素数量与较高的死亡率显著相关 (p=0.004),特别是高血压疾病和膜的过早破裂. 发病率在各组之间没有显著差异.
结论:
- 关于死亡率的研究结果与国家数据一致.
- 在研究人群中记录了观察到的发病率模式.
- 纳入风险因素可以提高预测早产婴儿存活概率的准确性.
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