纯母乳与人工喂养对正常新生儿胆红素代谢的影响  

Effects of different feeding methods on bilirubin metabolism of newborns.

作　　者：戴淑凤[1] 于兴江[1] 樊尚荣[1] 王素环 于晓兰[1] 

机构地区：[1]北京医科大学第一医院妇产科,潍坊市益都中心医院产科

出　　处：《现代妇产科进展》1995年第1期33-35,共3页Progress in Obstetrics and Gynecology

摘　　要：研究了不同喂养方式对母婴同室前后５１３例正常新生儿胆红素代谢的影响。５１３例中纯母乳喂养１３４例，母婴同室前人工喂养３７９例。用经皮及经血两种方法动态监测胆红素水平。结果表明，母乳喂养组胆红素水平高于人工喂养组，（Ｐ＜０．０１）。不同的喂养方式所致新生儿高胆红素血症的发生率前者为２０．８９％（２８／１３４）；后者为１０．０２％（３８／３７９），（Ｐ＜０．０１）。胆红素水平动态曲线表明，母乳喂养组新生儿黄疸出现的时间略前于人工喂养组，相应日龄组胆红素水平高，高峰后胆红素下降速度较缓慢。提示母乳喂养能增加新生儿黄疸发生率，但采取适当的干预措施后母乳性黄疸不会影响新生儿健康，一般不需停止母乳喂养。Effects of different feeding methods on bilirubin metabolism of 513 normal newborns were studied.Among the 513 newborns 134 caseswere on breast feeding and 379 cases were on artifical feeding before living together with their mothers.The blood bilirubin levels weremeasured percutaneously and directly from the blood. The results indicated that serum bilirubin levels in breast feeding group , were higher than those in artificial feeding group (P<0.01 ) . The incidences of hyperbilirubinemia of newborns were 20.89%( 28/134 )in breast feeding grovp and 10.02%(38/379) in artificial feeding group, ( P<0. 01 ) .The dynamical curve of bilirubin levels showed that Jaundice of newborn in breast feeding group occured earlier, bilirubin levels were higher and declined more slowly after peak value than artifical feeding group. The results indicated that breast feeding can increase jaundice of newborns, butit does not affect newborns health after appropriate management and there is no need to stop breast feeding.

关 键 词：胆红素 高胆红素血症 母乳喂养 人工喂养 新生儿 

分 类 号：R174.4[医药卫生—妇幼卫生保健] R722.170.2[医药卫生—公共卫生与预防医学]