乌鲁木齐晚发型母乳性黄疸患儿近期神经发育情况分析  

Analysis of near-term neurodevelopment of infants suffering from late onset breast milk jaundice in Urumqi

作　　者：蔡文萍 沈梅 严晓娟 

机构地区：[1]乌鲁木齐市第一人民医院乌鲁木齐市儿童医院,新疆乌鲁木齐830011

出　　处：《中国妇幼健康研究》2012年第5期659-660,共2页Chinese Journal of Woman and Child Health Research

基　　金：乌鲁木齐市卫生局基金资助项目（2010006）

摘　　要：目的研究无高危因素的足月儿晚发型母乳性黄疸对近期神经系统发育的影响。方法采用经皮测胆的方法测查28。42天婴儿的黄疸情况，并根据胆红素测量值〉5．00mg／dL分为黄疸组和对照组，应用DDST方法追踪婴儿2—4月龄时的神经系统发育情况。结果两组研究对象在大运动能、精细运动一适应性能和个人一社交能方面，月龄与评分的结果比较，差异均没有统计学意义（P〉0．05）；而在语言能方面，黄疸组婴儿相当于月龄的评分，但低于非黄疸组，且差异有统计学意义（Z=2．14，P=0．03）。结论晚发型母乳性黄疸黄疸对婴儿的语言发育可能存在不利的影响。Objective To study the impact of late onset breast milk jaundice in term infants without high-risk factors on near-term development of nervous system. Methods The jaundice of the infants aged 28 to 42 days was detected by percutaneous bilirubin detector. According to whether bilirubin measured value 〉 5.00 mg/dL, infants were divided into jaundice group and control group. DDST-CR examination was taken to track development of nervous system at 2-4 months. Results There were no statistical differences in aspects of gross motor function, fine motor-adaptability and personal-sociability between two groups （P 〉 0.05 ）, but in language function, the score of jaundice group was lower than that of control group and the difference was statistically significant（ Z = 2.14 ,P = 0.03 ）. Conclusion The late onset breast milk jaundice may have adverse impact on language development of infants.

关 键 词：正常足月儿 黄疸 经皮测胆 神经系统发育 

分 类 号：R725[医药卫生—儿科]