Đặc điểm thiếu máu của trẻ sơ sinh đẻ non giai đoạn sơ sinh sớm

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Tác giả: Thị Thúy Vi Hồ, Kiêm Hảo Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y Dược học Phạm Ngọc Thạch, 2023

Mô tả vật lý: tr.169

Bộ sưu tập: Metadata

ID: 339351

Thêm vào giỏ Liên kết toàn văn

- Đặt vấn đề: Thiếu máu là bệnh lý huyết học thường gặp ở trẻ sơ sinh, đặc biệt ở trẻ sơ sinh đẻ non, gây nhiều hậu quả nặng nề thậm chí tử vong nếu không điều trị kịp thời. Nghiên cứu này nhằm xác định tỉ lệ thiếu máu và liên quan giữa tình trạng thiếu máu với một số đặc điểm của trẻ sơ sinh đẻ non.- Phương pháp: Thực hiện nghiên cứu mô tả cắt ngang có phân tích trên 250 trẻ sơ sinh đẻ non giai đoạn sơ sinh sớm tại đơn vị Nhi sơ sinh, bệnh viện Trung ương Huế từ 6/2019 đến tháng 10/2021.- Kết quả: Tỷ lệ thiếu máu ở trẻ sơ sinh đẻ non giai đoạn sơ sinh sớm là 32,4%. Có mối liên quan giữa tình trạng thiếu máu ở trẻ sơ sinh đẻ non và tuổi thai, trẻ sơ sinh ở nhóm tuổi <
28 tuần có nguy cơ thiếu máu gấp 5,51 lần, nhóm 28 - <
32 tuần có nguy cơ thiếu máu gấp 3,86 lần và nhóm 32 - <
34 tuần có nguy cơ thiếu máu gấp 3,47 lần so với nhóm trẻ 34 - <
37 tuần. Có mối liên quan giữa tình trạng thiếu máu ở trẻ sơ sinh đẻ non và cân nặng lúc sinh, trẻ sơ sinh đẻ non có cân nặng lúc sinh <
1000 gram có nguy cơ thiếu máu gấp 2,98 lần, trẻ có cân nặng 1000 gram - <
1500 gram có nguy cơ thiếu máu gấp 2,53 lần so với nhóm trẻ có cân nặng 1500 gram - <
2500 gram.- Kết luận: Cần phát hiện sớm biểu hiện thiếu máu ở trẻ sơ sinh đẻ non, góp phần nâng cao tình trạng sức khỏe và giảm tỷ lệ tử vong sơ sinh.Abstract- Background: Anemia is the most common hematological problems in neonates, particularly in (very) preterm neonates. If the patients are not treated timely, it may cause severe consequences, specially death. This study aims to determin the prevalence of anemia of prematurity in early neonatal period and relationship between anaemia and characteristics of preterm neonates.- Method: A descriptive cross sectional study was conducted on 250 preterm infants from 6/2019 - 10/2021 at Neonatal unit of Hue central Hospital. - Results: It was accounted for 32.4% preterm infants with anemia. There was the relationship between anemia of prematurity and gestational age. Premature infants of gestational age <
28 weeks hada risk of anemia 5.51 times, while inthe group of premature infants of gestational age 28 - <
32 weeks had an increased risk of anemia 3.86 times and the group of gestational age 32 - <
34 weeks had a risk of anemia 3.47 times higher than the group of children 34 - <
37 weeks.There was a relationship between anemia of prematurity and birth weight. Premature infants with birth weight <
1000 gram had an increased risk of anemia 2.98 times, and the group of birth weight of 1000 gram - <
1500 gram hada risk of anemia 2.53 timeshigher than the group of birth weight 1500 gram - <
2500 gram.- Conclusion: It’s important to recognize the early signs of anemia in preterm infants and contribute to improving infant health and reducing neonatal mortality. DOI: 10.59715/pntjmp.1.3.21

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