Horowitz Kari, Feldman Deborah, Stuart Brittany, Borgida Adam, Ming Victor Fang Yu, Herson Victor
Department of Obstetrics & Gynecology, University of Connecticut Health, Farmington, CT, USA.
J Matern Fetal Neonatal Med. 2011 Nov;24(11):1407-10. doi: 10.3109/14767058.2010.551150. Epub 2011 Feb 7.
To investigate the incidence of respiratory morbidity among full-term neonatal intenstive care unit (NICU) admissions and identify risk factors for such admissions.
We performed a retrospective cohort study of NICU admissions between 1/06 and 12/08. We included neonates between 37 and 40 weeks with a diagnosis of transient tachypnea of the newborn (TTN), respiratory distress syndrome (RDS), pneumonia, pneumothorax, and meconium aspiration syndrome. Obstetrical outcomes were compared with a control group of women during the same period whose neonates were not admitted to the NICU.
Two-hundred two infants admitted to the NICU with respiratory morbidity were compared with 9580 controls. TTN comprised the majority of the respiratory morbidity. Only RDS was associated with cesarean delivery.
RDS remains a significant morbidity in full-term NICU admission. When compared with controls, admissions to our NICU with any respiratory morbidity were more likely to be delivered by cesarean to a mother with hypertension or diabetes during pregnancy.
调查足月新生儿重症监护病房（NICU）收治患儿的呼吸道疾病发病率，并确定此类收治的危险因素。
我们对2006年1月至2008年12月期间入住NICU的患儿进行了一项回顾性队列研究。我们纳入了37至40周、诊断为新生儿暂时性呼吸急促（TTN）、呼吸窘迫综合征（RDS）、肺炎、气胸和胎粪吸入综合征的新生儿。将产科结局与同期新生儿未入住NICU的女性对照组进行比较。
将202例因呼吸道疾病入住NICU的婴儿与9580例对照组进行比较。TTN占呼吸道疾病的大多数。只有RDS与剖宫产有关。
RDS仍是足月NICU收治患儿的一种重要疾病。与对照组相比，入住我们NICU的任何呼吸道疾病患儿更有可能由患有妊娠期高血压或糖尿病的母亲剖宫产分娩。
