在适当生长的早产双胞胎中,出生体重异常和新生儿不良后果
Ling Yang1, Yan Zhou2, Jie Qiu1
1Department of Neonatology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, 210008, Jiangsu, China.
Heliyon
|March 11, 2024
概括
在早产双胞胎中,出生体重不一致会增加并发症和新生儿重症监护室 (NICU) 的入院. 监测这种不一致性对于改善适当生长的早产双胞胎的结果至关重要.
科学领域:
- 周围生理学 周围生理学
- 新生儿科学 新生儿科学
- 产科 产科 产科 产科 产科
背景情况:
- 过早分娩给新生儿带来了重大挑战.
- 双胞胎之间的出生体重不一致会使怀孕结果复杂化.
- 了解出生体重差异对早产双胞胎的影响对于临床管理至关重要.
研究的目的:
- 分析早产的出生体重不一致双胞胎 (BWDT) 的临床特征.
- 评估出生体重异常对适当生长的早产双胞胎预后的影响.
- 调查在不一致的双胞胎怀孕中影响新生儿结果的孕产妇因素.
主要方法:
- 从早产期开始对活生生的双胞胎进行回顾性队列研究.
- 根据出生体重差异将双胞胎分为不一致和一致的群体.
- 分析母亲的临床特征和新生儿预后.
主要成果:
- 在适当生长的早产双胞胎中,出生体重不一致的发生率为8.0%.
- 出生体重不一致的双胞胎的并发症率 (43.2%对21.8%) 和新生儿重症监护室转移率 (53.2%对29.2%) 较高.
- 在不和的组中观察到明显更高的传染病发病率,死性肠球炎和需要氧气治疗.
结论:
- 出生体重不一致是早产双胞胎并发症的重要危险因素.
- 在评估早产双胞胎的结果时,需要对出生体重异常的提高警.
- 对出生体重不一致的关注可以指导干预措施,以改善新生儿的结果.
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