Study On The Relationship Between Premature Infants Suffering From Respiratory Distress Syndrome And Their Hand Venule

Objetive:To study whether the color and three-level position of infantile hand venule are related to the occurrence and severity of Neonatal respiratory distress syndrome(NRDS)in premature infants or not.Research objects and grouping:114 premature infants who met the inclusion criteria in the neonatal intensive care unit of Fu Zhou General Hospital were admitted from July 2016 to March 2018.71 infants of them who met the NRDS diagnostic criteria were enrolled in neonatal NRDS group,and another 43 infants who did not meet the NRDS diagnosis were enrolled in the control group.Method:The infants were given routine treatment after admission.Observe and record the three-level position and color of the infantile hand venule 2 hours,8 hours,24 hours,72 hours,and 120 hours respectively after birth.The infantile hand venule color and three-level position were compared between the two groups at different time;the distribution of infantile hand venule color and three-level position were compared among mild NRDS,moderate NRDS and severe NRDS infants 2 hours after birth;the infantile hand venule color and three-level position at different time were compared in NRDS group;the infantile hand venule color and three-level position at different time were compared in control group;the sensitivity of three-level position above Qiguan(including Qiguan)and purple or cyan purple of infantile hand venule predicting NRDS 2 hours after birth were compared;the specificity of three-level position above Qiguan(including Qiguan)and purple or cyan purple of infantile hand venule predicting NRDS 2 hours after birth were compared.Result:1.Three-level position of infantile hand venule in the NRDS group were compared with those of the control group 2 hours,8 hours,24 hours,72 hours,and 120 hours after birth,and the difference was statistically significant(P<0.05).2.The differences of infantile hand venule three-level position at different time point in NRDS group were statistically significant(P<0.05);there was no significant difference of hand venule three-level position in the control group(P>0.05).3.The differences of infantile hand venule three-level position among mild NRDS group,moderate NRDS group and severe NRDS group were statistically significant 2 hours after birth(P<0.05).4.The differences of infantile hand venule color between NRDS group and control group were statistically significant(P<0.05)2 hours,8 hours,24 hours,72 hours after birth;there was no statistical difference in infantile hand venule color between NRDS group and control group 120 hours after birth(P>0.05).5.The differences of infantile hand venule color at different time in the NRDS group were statistically significant(P<0.05);there was no statistical difference in infantile hand venule color distribution at different time in the control group(P>0.05).6.The differences of infantile hand venule color among mild NRDS,moderate NRDS and severe NRDS were statistically significant 2 hours after birth(P<0.05).7.The sensitivity of infantile hand venule three-level position above Qiguan(including Qiguan)and purple or cyan purple infantile hand venule predicting NRDS was respectively 77.08%and 81.25%2 hours after birth,and there was no significant difference between them(P>0.05).The specificity of infantile hand venule three-level position above Qiguan(including Qiguan)and purple or cyan purple infantile hand venule predicting NRDS was respectively 76.74%and 72.09%2 hours after birth,and there was no significant difference between them(P>0.05).Conclusion:1.Infantile hand venule three-level positions are related to the occurrence and severity of NRDS;infantile hand venule three-level position in children with NRDS is mainly in qipass and mingpass;expression of infantile hand venule three-level position is helpful for early diagnosis of NRDS.2.Infantile hand venule colors are related to the occurrence and severity of NRDS;infantile hand venule color of children with NRDS is purple or cyan purple commonly.3.Observation of the changes in the position and color of infantile hand venule can be used as an auxiliary indicator for early diagnosis and judgment of the severity and outcome of NRDS.