O型血孕妇妊娠次数与新生儿ABO溶血病的相关研究  

Study for the number of pregnancies with O blood type and ABO hemolytic disease of the newborn

作　　者：方敏[1] 方阅[1] 金杰[1] 高玲玲[1] 左文琼[1] 

机构地区：[1]上海交通大学附属第一人民医院,上海200080

出　　处：《湖南中医药大学学报》2011年第6期5-6,共2页Journal of Hunan University of Chinese Medicine

摘　　要：目的探讨O型血孕妇妊娠次数与新生儿ABO溶血病的关系。方法对2003年8月15日至2009年10月31日在我院产科婴儿室收治的70例新生儿ABO溶血病患儿,按他们的母亲妊娠次数1次或多于1次分为两组,分别统计患儿黄疸出现时间及此时的血清胆红素均值之间有无差异。结果两组患儿黄疸出现时间均值相比和血清胆红素水平均值相比,差异均无统计学意义(P>0.05)。结论无论是第1次妊娠还是多次妊娠的O型血Rh阳性孕妇(尤其不能忽略第1次妊娠者),对母子血型不合的新生儿均需严密观察他们的生后表现,凡早期出现黄疸或黄疸迅速加重者,尽量做到早发现、早诊断、早处理新生儿ABO溶血病。Objective To investigate the relationship between the number of pregnancies with O blood type and ABO hemolytic disease of the newborn. Methods 70 neonates diagnosed of ABO hemolytic disease,admitted in our hospital obstetrics neonate department from Aug 15.2003 to Oct 31.2009,were divided into 2 groups according to number of pregnancies,once or over once, and the difference between mean of when neonates jaundice appear and serum bilirubin.Results There was no significant difference between 2 groups （P〉0.05）. Conclusion The postpartum situation of neonates with blood type incompatibility should be investigated closely ABO hemolytic disease, whatever first pregnancy or multiple pregnancy with O blood type and Rh positive blood type （especially first pregnancy）.The early found,early diagnosis,early treatment for ABO hemolytic disease of the newbom should be performed to whose jaundice appears earlier or develops quickly.

关 键 词：妊娠次数 新生儿ABO溶血病 血清胆红素 

分 类 号：R722.1[医药卫生—儿科]