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早期早产
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  early preterm birth
     Cases were divided into three groups:28~31 +6 gestational weeks as early preterm birth(32/136,23 53%),32~33 +6 gestational weeks as moderate preterm birth group(31/136,22 79%),34~36 gestational weeks as mild preterm birth ones(73/136,53 68%).
     分为早期早产 (earlypretermbirth)组 ,孕龄为 2 8~ 31 + 6周 ,(32 / 1 36 ,2 3 5 3% ) ,中度早产 (moderatepretermbirth)组孕龄为 32~ 33+ 6周 (31 / 1 36 ,2 2 79% ) ,轻型早产 (mildpretermbirth)组孕龄为 34~ 36周 (73/ 1 36 ,5 3 6 8% )。
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  相似匹配句对
     Premature Infants on Early Feeding and Their Prognosis
     早产早期喂养与预后
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     Fetal growth rates and the very preterm delivery of twins
     双胎的胎儿生长速率和早期早产
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     Early Osteoporosis
     早期骨质疏松
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     PREMATURE MENOPAUSE
     早期绝经
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     Progress on the Treatment of Preterm Labor
     早产治疗的进展
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  early preterm birth
However, such interventions may reduce the risk of spontaneous early preterm birth.
      
To date, the best predictor of early preterm birth is FFN, with consistently high odds ratios reported.
      
There was no very early preterm birth; the lowest GA was 35 weeks.
      
Wapner noted that further investigation of rescue steroid administration to women at high risk for early preterm birth is warranted.
      


Objective To investigate the outcome of spontaneous preterm birth influenced by different gestational age.Methods One hundred and thirty six cases of spontaneous preterm birth,which at 28~36 weeks gestational age were enrolled in this study.Cases were divided into three groups:28~31 +6 gestational weeks as early preterm birth(32/136,23 53%),32~33 +6 gestational weeks as moderate preterm birth group(31/136,22 79%),34~36 gestational weeks as mild preterm birth ones(73/136,53 68%).The means of management,delayed...

Objective To investigate the outcome of spontaneous preterm birth influenced by different gestational age.Methods One hundred and thirty six cases of spontaneous preterm birth,which at 28~36 weeks gestational age were enrolled in this study.Cases were divided into three groups:28~31 +6 gestational weeks as early preterm birth(32/136,23 53%),32~33 +6 gestational weeks as moderate preterm birth group(31/136,22 79%),34~36 gestational weeks as mild preterm birth ones(73/136,53 68%).The means of management,delayed delivery time and neonatal outcome and the needed intensity of medical care were analyzed.Results The incidence of preterm birth was 10 30%.Spontaneous preterm birth accounted for 66 40%.The neonatal morbidity and mortality in early preterm birth group was much higher than that in the other two groups( P< 0 01).The medical costs significantly higher in early preterm birth group( P< 0 001).Logistic regression analysis showed that gestational age was the major factor influencing neonatal outcome.Conclusions Early preterm birth is greatly related to neonatal outcome.How to diagnosis,management and treatment early preterm birth is another challenge faced by us.

目的 探讨不同阶段的自发性早产对结局的影响。方法 回顾性分析于我院分娩的孕龄在2 8~ 36周的 1 36例自然早产者。分为早期早产 (earlypretermbirth)组 ,孕龄为 2 8~ 31 + 6周 ,(32 / 1 36 ,2 3 5 3% ) ,中度早产 (moderatepretermbirth)组孕龄为 32~ 33+ 6周 (31 / 1 36 ,2 2 79% ) ,轻型早产 (mildpretermbirth)组孕龄为 34~ 36周 (73/ 1 36 ,5 3 6 8% )。分析治疗和孕龄延长时间、早产儿结局和医疗费用。结果 我院早产发生率为1 0 30 % ,其中自发性早产发生率为 6 6 4 0 %。早期早产组新生儿发病率及死亡率均高于其他两组 (P <0 0 1 ) ,且医疗费用也明显高于其他两组 (P <0 0 0 1 )。Logistic多因素回归分析显示孕龄是影响早产儿结局的重要因素。结论 早期早产与新生儿预后密切相关 ,应加强对早期早产的重视

Objective: To investigate the related factors of maternal and neonatal outcomes in severe preeclampsia(S-PE) preterm birth by comparison of S-PE preterm birth with spontaneous preterm birth.Methods: A comparison study was conducted among 72 cases of S-PE preterm birth(83 liveborn infants) and 222 cases of spontaneous preterm birth(279 liveborn infants) from 28 to 36 weeks of gestation.Cases were divided into three stages according to gestational age as very early preterm birth,moderate early preterm birth,and...

Objective: To investigate the related factors of maternal and neonatal outcomes in severe preeclampsia(S-PE) preterm birth by comparison of S-PE preterm birth with spontaneous preterm birth.Methods: A comparison study was conducted among 72 cases of S-PE preterm birth(83 liveborn infants) and 222 cases of spontaneous preterm birth(279 liveborn infants) from 28 to 36 weeks of gestation.Cases were divided into three stages according to gestational age as very early preterm birth,moderate early preterm birth,and mild early preterm birth.Results: The neonatal mortality rates were significant different among three stages within two groups respectively.There was no difference in the neonatal mortality rate between these two groups at each same stage.In very early preterm birth,the average birth weight of study group was much lower than the control group(P=0.003),but the neonatal morbidity was no difference in two groups.In moderate early preterm birth,the rate of severe neonatal asphyxia was higher in study group than that in controls.In mild early preterm birth,the duration of NICU hospitalization was longer in study groups than that in control ones.Multivariate Logistic regression analysis showed that gestational age at birth was the major factor affecting neonatal mortality in S-PE.Conclusions: This study suggested that perinatal outcomes were closely related to gestational age at birth.There was no difference in perinatal outcomes between S-PE and spontaneous preterm birth.

目的:通过不同类型的重度子前期(severe preeclampsia,S-PE)早产和自发早产的对比分析,探讨影响S-PE早产结局的相关因素。方法:将重度子前期(研究组)早产72例(早产儿83例),按不同孕周分为早期早产、中型早产及轻型早产3类,分别与相同类型的自发早产(对照组)222例(早产儿279例)进行孕产妇及围生儿结局对比分析。结果:研究组及对照组3类型间的早产儿病死率差异有显著性(P=0.000)。研究组与对照组同类型间早产儿病死率比较,差异无显著性(P>0.05);研究组早期早产儿平均出生体重明显低于对照组(P=0.003),而早产儿并发症发生率与对照组比较,差异无显著性(P>0.05);研究组中的中型早产新生儿除重度窒息明显高于对照组外(P=0.022),新生儿平均出生体重、新生儿轻度窒息率、新生儿病死率及新生儿加强护理NICU(neonatel intensive care unit,NICU)住院日和住院费两组间差异无显著性;在轻型早产组,除研究组NICU住院日明显长于对照组外(P=0.000),两组间其他观察指标的差异均无显著性。多元回归分析显示,早产的分娩孕龄是...

目的:通过不同类型的重度子前期(severe preeclampsia,S-PE)早产和自发早产的对比分析,探讨影响S-PE早产结局的相关因素。方法:将重度子前期(研究组)早产72例(早产儿83例),按不同孕周分为早期早产、中型早产及轻型早产3类,分别与相同类型的自发早产(对照组)222例(早产儿279例)进行孕产妇及围生儿结局对比分析。结果:研究组及对照组3类型间的早产儿病死率差异有显著性(P=0.000)。研究组与对照组同类型间早产儿病死率比较,差异无显著性(P>0.05);研究组早期早产儿平均出生体重明显低于对照组(P=0.003),而早产儿并发症发生率与对照组比较,差异无显著性(P>0.05);研究组中的中型早产新生儿除重度窒息明显高于对照组外(P=0.022),新生儿平均出生体重、新生儿轻度窒息率、新生儿病死率及新生儿加强护理NICU(neonatel intensive care unit,NICU)住院日和住院费两组间差异无显著性;在轻型早产组,除研究组NICU住院日明显长于对照组外(P=0.000),两组间其他观察指标的差异均无显著性。多元回归分析显示,早产的分娩孕龄是影响重度子前期早产儿死亡的主要因素;促胎肺成熟和孕期检查是影响新生儿病率的主要因素。结论:不论重度子前期早产还是自发早产,在早期早产阶段影响围生儿预后的主要因素是分娩孕龄,重度子前期早产与自发早产围生结局无明显差异。

Objective:To study the relationship among pre-pregnancy body mass index(BMI),gestational weight gain,change of BMI in gestational period and types of preterm birth.Methods:The data of 1882 cases of single preterm and term birth women was collected.The outcome of those women was followed up,the height,pre-pregnancy weight and the last weight before delivery were measured,and then BMI and BMI gain during pregnancy were calculated.According to pre-pregnancy BMI and delivery gestational weeks,all cases were divided...

Objective:To study the relationship among pre-pregnancy body mass index(BMI),gestational weight gain,change of BMI in gestational period and types of preterm birth.Methods:The data of 1882 cases of single preterm and term birth women was collected.The outcome of those women was followed up,the height,pre-pregnancy weight and the last weight before delivery were measured,and then BMI and BMI gain during pregnancy were calculated.According to pre-pregnancy BMI and delivery gestational weeks,all cases were divided into three groups:group A(BMI<16.75kg/m~2);group B(BMI16.75-23.71kg/m~2)and group C(BMI>23.71kg/m~2)and three sorts:term birth and early preterm birth;and mild preterm birth,and respectively.Relationship between different groups of BMI and preterm birth were analyzed.Results:Compared with term birth and mild preterm birth,change of BMI during pregnancy with early preterm birth was significantly low in the three groups.Compared with term birth,change of BMI with mild preterm birth and early preterm birth was lower in group A,but no significant change in B and C groups.Conclusion:The pre-pregnancy under BMI and low BMI gain were related to preterm birth,especially to early preterm birth.

目的:探讨妇女不同的孕前体质指数(BMI),及孕期BMI变化和早产类型的关系。方法:选择2003年1月至2005年1月间在我院产科住院分娩的1882例单胎产妇,测量其孕前身高、体重和终止妊娠前最后一次体重,计算孕前BMI及孕期BMI增加。按孕前BMI分为A组(BMI<16.75kg/m2);B组(BMI在16.75~23.71kg/m2);C组(BMI>23.71kg/m2)三组,并随访其妊娠结局。按分娩孕周分为足月产、早期早产(<32周)和轻型早产(PTB≥32周)三组。分组分析不同孕前BMI、孕期BMI变化与早产不同类型的关系。结果:三组中早期早产孕妇孕前BMI及孕期BMI增加均小于其它两组,差异有显著性(P<0.01),A组早期和轻型早产的孕妇孕期BMI增加小于足月孕妇,有显著性差异(P<0.05)。B组和C组早产与足月孕妇相比孕期BMI增加无显著性差异(P>0.05)。早期早产组新生儿的身长、体重低于其它两组,其新生儿的窒息率明显高于其它组,差异有显著性(P<0.01)。结论:孕妇的孕前BMI及孕期BMI变化对新生儿的体重、身长及预后有重要的影响。孕前低BMI与孕期...

目的:探讨妇女不同的孕前体质指数(BMI),及孕期BMI变化和早产类型的关系。方法:选择2003年1月至2005年1月间在我院产科住院分娩的1882例单胎产妇,测量其孕前身高、体重和终止妊娠前最后一次体重,计算孕前BMI及孕期BMI增加。按孕前BMI分为A组(BMI<16.75kg/m2);B组(BMI在16.75~23.71kg/m2);C组(BMI>23.71kg/m2)三组,并随访其妊娠结局。按分娩孕周分为足月产、早期早产(<32周)和轻型早产(PTB≥32周)三组。分组分析不同孕前BMI、孕期BMI变化与早产不同类型的关系。结果:三组中早期早产孕妇孕前BMI及孕期BMI增加均小于其它两组,差异有显著性(P<0.01),A组早期和轻型早产的孕妇孕期BMI增加小于足月孕妇,有显著性差异(P<0.05)。B组和C组早产与足月孕妇相比孕期BMI增加无显著性差异(P>0.05)。早期早产组新生儿的身长、体重低于其它两组,其新生儿的窒息率明显高于其它组,差异有显著性(P<0.01)。结论:孕妇的孕前BMI及孕期BMI变化对新生儿的体重、身长及预后有重要的影响。孕前低BMI与孕期低BMI增加与早产的危险性增加相关,尤其以早期早产更明显。

 
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