【摘要】 目的 :分析新生儿颅内出血影响因素间的相互作用。方法 :采用病例对照研究和Logistic回归分析 ,分别对15 0例新生儿颅内出血患儿的危险因素进行分析。结果 :窒息、宫内窘迫、脐带绕颈、负压吸引、滞产、剖宫产、胎位异常、早产、产钳、低体重出生儿、酸中毒、呼吸暂停、过期产、肺透明膜病、胎盘老化、新生儿出血和母亲出血共 17个因素对新生儿颅内出血有影响作用。其中 ,窒息、胎盘老化、过期产、自然出血、小样儿、滞产、宫内窘迫、呼吸暂停、胎位异常、产钳、早产和肺透明膜病表现为相加作用。结论 :控制窒息、胎盘老化、过期产、自然出血、小样儿、滞产、宫内窘迫、呼吸暂停、母亲出血和酸中毒 10个相乘作用的因素 ,可降低新生儿颅内出血的发生率 ,提高妇幼保健水平。更多还原

【Abstract】 Objective: To investigate the interaction of risk factors that causes neonatal intracranial hemorrhage.Methods: The case control study and logistic regression analysis were adopted to analyze the risk factors causing neonatal intracranial hemorrhage. They were as follows: asphyxia, inner uterus apnea, cord around neck, vacuum suction, prolonged labor, cesarean section, abnormal fetal position, premature labor, obstetric forceps, low birth weight infant, acidosis, apnea, post term infant, neonatal respiratory distress syndrome (NRDS), aging of placenta, hemorrhagic disease of the newborn, and postpartum hemorrhage. Results: Among the 17 factors, the combined effect of 10 factors such as: asphyxia, aging of placenta, post term infant, hemorrhagic disease of the newborn, low birth weight infant, prolonged labor, neonatal respiratory distress syndrome (NRDS), apnea, postpartum hemorrhage, and acidosis showed a multiplicative effect which were combined effect of cord around neck, vacuum suction, cesarean section, abnormal fetal position, obstetric forceps and premature labor, showed additive effect.Conclusion: Control of the multiplicative effects of the factors mentioned above can reduce the rate of neonatal intracranial hemorrhage and elevate the level of the materfamilias and child care.更多还原