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| Analysis of etiology, characteristics and risk factors of dyspnea in 1135 neonates |
| LIU Xian1,2 HANG Gao3▲ HU Jinhui1 ZHANG Jun1 PAN Zhaojun1 WU Rong1▲ |
1.Neonatal Medical Center, Huai′an Maternal and Child Health Hospital Affiliated to Medical College of Yangzhou University, Jiangsu Province, Huai′an 223002, China; 2.Department of Pediatrics, Guannan People′s Hospital, Jiangsu Province, Lianyungang 222500, China;
3.Children′s Hospital, Nantong Ruizi Hospital Affiliated to Medical College of Yangzhou University, Jiangsu Province, Nantong 226001, China |
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Abstract Objective To analyze the common etiology, clinical characteristics and risk factors of dyspnea in neonatal period. Methods From January to December 2018, 2270 neonates admitted to Neonatal Medical Center, Huai′an Maternal and Child Health Hospital of Jiangsu Province were selected as the study subjects. According to the occurrence of dyspnea, they were divided into dyspnea group(1135 cases) and control group(1135 cases). The etiology of dyspnea neonates was analyzed, and the incidence of dyspnea neonates with different gestational ages and birth weights were compared, as well as the univariate and multivariate analyses of dyspnea neonates. Results The incidence of neonatal dyspnea was the highest in the respiratory system, in which neonatal pneumonia was the main etiology and neonatal respiratory distress syndrome was the second etiology. The incidence of dyspnea in neonates with different gestational ages and birth weights were significantly differents (P < 0.01). And gestational age, cesarean section, intrauterine distress, maternal anemia, asphyxia were the risk factors for neonatal dyspnea (P < 0.01). Conclusion Dyspnea is caused by many etiology. Early detection, early diagnosis and early treatment are of great significance to improve the cure rate of neonatal diseases, reduce the length of hospital stay, lower the mortality, and reduce the incidence of sequelae.
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