足月新生儿高间接胆红素血症的围生因素分析  

Analysis high risk perinatal factors for unconjugated hyperbilirubinemia in full term neonates

作　　者：彭好[1] 蒲友华[1] 胡波[1] 刘定远[1] 袁涛[1] 

机构地区：[1]遂宁市中心医院儿科,四川遂宁629000

出　　处：《四川医学》2012年第3期443-445,共3页Sichuan Medical Journal

摘　　要：目的探讨围产期各种相关因素与高间接胆红素血症发病的关系。方法选择2010年11月～2O11年6月180例足月高间接胆红素血症患儿,同时随机抽取同期产科出生150例无高间接胆红素血症足月儿作对照组。采用单因素分析和逐步logistk回归分析的方法,筛选高间接胆红素血症发病的危险因素。结果引起高间接胆红素血症的围生因素包括胎龄、产式、窒息、开奶时间延迟、胎粪排出时间延迟、喂养方式、出血和出生体质量下降。其中引起高间接胆红素血症独立的高危围生因素为胎龄、开奶时间延迟、喂养方式、出血和出生体质量下降。结论临床对具有多种高危围生因素的患儿应提高对其发生高间接胆红素血症可能的预见性,及早采取预防措施。Objective To study the correlation between perinatal factors and neonatal unconjugated hyperbilirubinemia.Methods 180 jaundiced term infant were selected and 150 term infants without unconjugated hyperbilirubinemia were also selected at the same period as the control group.16 risk factors were listed and analyzed by the methods of single-factor analysis and logistic regression analysis.Results After single-factor analysis,there were significant diferences of 8 perinatal factors in two groups,including gestational age,labor ways,feeding ways,delayed feeding,internal hemorrhage,,body weight loss,,asphaxia,delayed passage of meconium.And gestational age,,breast-feeding,delayed feeding,internal hemorrhage,body weight loss were the main risk factors with logistic regression analysis.Conclusion Clinical doctors should improve the predictability of possibility of newborn with risk factors to have neonatal unconjugated hyperbilirubinemia and take preventive measure in early stage.

关 键 词：足月新生儿 间接胆红素 围生因素 

分 类 号：R722.17[医药卫生—儿科]