新生儿脐炎及并发高胆红素血症的临床分析  

Clinical Analysis of Neonatal Omphalitis and Its Complication with Hyperbilirubinemia

作　　者：熊燕 石胜 彭图元 

机构地区：[1]江门市人民医院,广东江门529020

出　　处：《实用医技杂志》2005年第01A期87-89,共3页Journal of Practical Medical Techniques

摘　　要：目的 :了解我院新生儿脐炎的发病率 ,探讨脐炎对黄疸转归的影响。方法 :对我院 2 0 0 3年 1月至 2 0 0 3年 12月出生的 14 6 7例新生儿中所发生的 97例新生儿脐炎患儿及其合并高胆红素血症情况进行回顾性的调查分析。结果 :14 6 7例新生儿中 ,发生脐炎 97人 (6 .6 1% ) ,足月儿组和早产儿组脐炎的感染率分别为 5 .5 1%和 18.4 0 %(χ2 =30 .75 ,P<0 .0 1) ;且有 6 3例并发高胆红素血症 ,足月患儿和早产患儿并发率分别为 6 3.5 0 %和 6 9.6 0 % (χ2 =0 .2 8,P>0 .0 5 ) ;黄疸消退的时间足月儿为 9d～ 16 d,早产儿为 11d～ 2 7d。结论 :早产儿较足月儿易发生脐部感染 ,但都较大程度合并高胆红素血症 ,且黄疸消退时间较正常新生儿延长 ;加强预防措施 ,是减少新生儿脐炎及新生儿病理性黄疸的关键。Objective To study the prevalence rate of neonatal omphalitis and the outcome of iaundice in neonates with hyperbilirubinemia.Methods We underwent the retrospective analysis with 97 neonatal omphalitis,of them,63 complicated with hyperbilirubinemia,from January 2003 to December 2003 in our hospital.Results of all 1 467 newboms,there were 97 neonatal omphalitis(6.61 %).The infection rate of the full term infants group and the preterm infants group is 5.51 % and 18.4 %,respectively.The incidence of complication with hyperbilirubinemia is 63.5 % in the full term infants group and 69.6 % in the preterm infams group.The remittable time of jaundice was from 9 to 16 days in the full term infants and from 11 to 27 days in the preterm infants.Conclusions The incidence of omphalitis of the preterm infants was higher than that of the full term infants,however,they were both complicated with hyperbilirubinemia in large degree,and the remit table time of jaundice was relatively long;To strengthen the preventive practice is the key to reduce the neonatal omphalitis and aundice.

关 键 词：新生儿 脐炎 高胆红素血症 黄疸 

分 类 号：R722.17[医药卫生—儿科]