早发型母乳性黄疸与喂养方式相关性研究  

The relationship between neonates with early breast milk jaundice and feeding method

作　　者：祝佩芹[1] 贾丽霞[2] 段海凤[3] 

机构地区：[1]河北医科大学中医院妇产科,石家庄050011 [2]河北省邯郸市第一医院儿科,056002 [3]河北省邯郸市第一医院妇产科

出　　处：《中国实用医药》2007年第8期3-4,共2页China Practical Medicine

基　　金：河北省科技公关计划项目(项目号:0627611003)

摘　　要：目的探讨早发型母乳性黄疸与喂养方式及胃肠激素的关系。方法选择剖宫产新生儿136进行监测,将符合早发型母乳性黄疸诊断标准的38例新生儿进一步采集血液标本,通过放射免疫法测定胃动素(MOT)和胃泌素(GAS)水平。另随机抽取同期剖宫产出生的30例正常新生儿作为对照组,同法测定MOT和GAS,并记录两组相应的喂养方式。结果早发型母乳性黄疸组MOT、GAS的水平明显高于对照组,在统计学上有显著性差异;两组开奶时间、哺乳时间、哺乳频率等在统计学上均有显著性差异。结论新生儿早发型母乳性黄疸与胃肠激素MOT、GAS水平的降低密切相关,且与喂养方式密切相关。因此对新生儿应改进母乳喂养,严密监测黄疸的发生,及早干预。Objective To investigate the impact of the detection of gastrointestinal hormone and feeding method in neonates with early breast milk jaundice.Methods 38 newborns with early breast milk jaundice and 30 normal newborns were detected,The plasma level of motilin and gastrin were measured by radioimmunoassay,and noted the feeding method.Results There were significance difference between two groups in motilin and gastrin.The neonatal haperbilirubinemia was associated with the lower levels of plasma motilin and gastrin in neonates with early breast milk jaundice.Conclusion Early breast milk jaundice was associated with the lower levels of plasma gastrointestinal hormone and the feeding method in neonates.

关 键 词：早发型母乳性黄疸 喂养方式 胃肠激素 

分 类 号：R174[医药卫生—妇幼卫生保健]