| Objective: To record the weight and growth of premature infants in neonatal intensive care unit(NICU)in our hospital from October 2018 to February 2020,and analyze t he extrauterine growth retardation(EUGR).Incidence and risk factors provide recomme ndations for future EUGR intervention in our hospital to further improve the quality of life and health of preterm infants.Methods: A total of 116 preterm infants who were admitted to the NICU of the First Affiliated Hospital of Wannan Medical College(Yijishan Hospital)from October 2018 to February 2020 were selected,and their gestational age was less than 37 weeks.They were admitted to hospital 24 hours after birth.> 7 days,with reference to the 2013 Fenton growth curve,the children's extrauterine growth was mainly evaluated by weight and divided into groups.They were divided into the EUGR group and the non-EU GR group.The data during hospitalization were retrospectively summarized.The gestational age,Gender,birth weight,weight gain rate,birth head circumference,amniotic fluid contamination,use of prenatal hormones,multiple pregnancy,cesarean section,premature rupture of membranes,maternal complications(gestational diabetes,high pregnancy)Blood pressure,infection),intrauterine growth retardation,length of hospital stay,feeding route and method,nutritional intake during hospitalization(time of enteral nutrition,duration of parenteral nutrition,time of starting amino acid use,time of starting fat milk,average number of days of daily heating card reaching Average heat card),complications(infection,mechanical ventilation),etc.,all data were statistically analyzed.Results: 1.A total of 116 premature babies were included in this study,including 67 male boys,49 female babies,72 single babies,44 twins,17 with combined asphyxia,81 with concurrent infection,and 6 with mechanical ventilation.2.In terms of weight,length,and head circumference at discharge from 2.116 preterm infants,the incidences of EUGR were 26.7%(32 cases),15.5%(18 cases),and 5.2%(6 cases).3.Based on birth weight evaluation,EUGR occurred in 32 of 116 preterm infants,and the incidence was 27.6%.In the EUGR group,the incidence rate of birth weights <1500g was 9.4%,the incidence rate of 1500-2000g was 9.4%-53%,and the incidence rate of preterm infants between 2000-2500g was 53%-6.3%.4.In the EUGR group,the incidence rate of GA <32 weeks was 9.4%,the incidence rate of 32 to 34 weeks was 9.4% to 38%,and the incidence rate of 34 <GA <37 weeks was 38% to 3.1%.5.There was no significant difference in gender,cesarean section,premature rupture of membranes,amniotic fluid contamination,multiple pregnancy,maternal antenatal use of hormones between the two groups(P> 0.05).There was a statistical difference between the presence of asphyxia and the comorbidities of the mother(P <0.05).6.There was a statistically significant difference between the two groups during the hospitalization of infections and mechanical ventilation(P <0.05).7.There was no significant difference in the start time of amino acid use,fat milk start time,gastric tube use time,birth gestational age,and head circumference between the EUGR group and the non-EUGR group(P> 0.05).There were statistically significant differences in the duration of external nutrition,length of hospital stay,birth weight,average weight gain rate,daily average number of calories reaching the standard,and average calories(P <0.05).8.Logistic regression analysis showed that birth weight,the rate of weight gain,maternal comorbidities,the time to enter enteral nutrition,the average heat card and the average number of days for which the heat card reached the standard were all independent risk factors for the occurrence of EUGR.Conclusion: Slow average weight gain during hospitalization,mothers with comorbidities,late onset of enteral nutrition,low average heat calories during hospitalization,and long average daily heat calorie compliance days are the risk factors for EUGR in preterm infants in our hospital. |
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