Liu Jing, Chang Li-Wen, Wang Qi, Qin Gui-Lian
Department of Neonatology & Nicu, Bayi Children's Hospital Affiliated With Beijing Military Region General Hospital, Beijing, China.
Department of Pediatrics, Tongji Hospital Affilitiated To Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
J Turk Ger Gynecol Assoc. 2010 Jun 1;11(2):73-7. doi: 10.5152/jtgga.2010.02. eCollection 2010.
To explore the incidence and analyze the high risk factors of PIVH in premature infants in mainland China.
A total of 1122 premature infants at <37 weeks gestation were enrolled in this study. All the infants received intracranial ultrasound examinations within 1 week after birth, and the perinatal data were recorded to analyze the high risk factors for PIVH.
The results showed that the incidence rate of PIVH was 55.2% in mainland Chinese population. Among these cases, mild degrees of PIVH accounted for 82.2% and severe degrees of PIVH accounted for only 17.8%. The most important risk factors related to PIVH were low gestational age, low birth weight, low Apgar score and ventilatory treatment, etc.
It suggested that there were many high risk factors related to PIVH in premature infants and a screening cutoff point of 2000 g appeared to be more adequate for China.
探讨中国大陆地区早产儿脑室内出血（PIVH）的发生率并分析其高危因素。
本研究共纳入1122例孕周<37周的早产儿。所有婴儿在出生后1周内接受颅内超声检查，并记录围产期数据以分析PIVH的高危因素。
结果显示，中国大陆人群中PIVH的发生率为55.2%。在这些病例中，轻度PIVH占82.2%，重度PIVH仅占17.8%。与PIVH相关的最重要危险因素是孕周小、出生体重低、阿氏评分低和通气治疗等。
提示早产儿PIVH存在许多高危因素，对于中国而言，2000 g的筛查临界值似乎更为合适。
