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目的探讨新生儿颅内出血的危险因素及预防方法。方法选取2010年6月至2013年12月新生儿颅内出血患儿87例作为观察组,选取同期我科收治非颅内出血新生儿90例作为对照组,分析造成颅内出血的原因。结果多因素分析结果表明,观察组患儿脐带绕颈、早产、低出生体质质量、新生儿窒息、巨大儿、宫内窘迫为主要危险因素。结论预防新生儿颅内出血需密切观察围生期的可疑临床表现,定期检查,要控制感染、减少早产、维持母体内环境的稳定,加强孕妇保健和治疗,从而减少新生儿颅内出血的发生。
Objective To explore the risk factors of neonatal intracranial hemorrhage and its preventive measures. Methods Totally 87 neonates with intracranial hemorrhage from June 2010 to December 2013 were selected as the observation group. Ninety non-intracranial hemorrhage newborns were selected as the control group in the same period, and the causes of intracranial hemorrhage were analyzed. Results multivariate analysis showed that the observation group of children around the neck cord, premature birth, low birth weight, neonatal asphyxia, macrosomia, intrauterine distress as the main risk factors. Conclusions The prevention of neonatal intracranial hemorrhage should be closely observed suspicious clinical manifestations during the perinatal period, regular examination, to control infection, reduce preterm birth, maintain the stability of the mother’s internal environment, and strengthen the health care and treatment of pregnant women, thereby reducing the incidence of intracranial hemorrhage in neonates.