脐血胆红素水平及排便干预对新生儿病理性黄疸的影响  

Effect of Bilirubin Level in Cord Blood and Defecation Intervention in the Pathological Jaundice of Newborn

作　　者：王艳[1] 董玉霞[2] 邸红芹[3] 冯琳[4] 王翠霞[2] 王建玲[2] 杨静华[2] 

机构地区：[1]河北省胸科医院儿科,石家庄050031 [2]河北省胸科医院妇产科,石家庄050031 [3]河北省胸科医院检验科,石家庄050031 [4]河北医科大学第二医院儿科,石家庄050000

出　　处：《解放军医药杂志》2015年第10期64-65,68,共3页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

基　　金：河北省卫生和计划生育委员会指令性课题(ZL20140313)

摘　　要：目的探讨脐血胆红素水平测定对新生儿病理性黄疸的预测及早期排便干预效果。方法选取河北省胸科医院和河北医科大学第二医院2012年6月—2014年6月出生的足月新生儿196例,分为观察组92例和对照组104例,观察组给予排便干预,对照组未给予排便干预。观察病理性黄疸的发生情况及排便干预对病理性黄疸的效果。结果本组发生病理性黄疸79例(40.31%)。发生病理性黄疸者脐血胆红素水平高于未发生病理性黄疸者。观察组病理性黄疸的发生率低于对照组(P<0.05)。结论脐血胆红素水平可有效预测高胆红素血症的发生风险,排便干预可降低病理性黄疸的发生率。Objective To explore the effect of bilirubin level detection in cord blood on the risk prediction of pathological jaundice of newborns and early defecation intervention. Methods A total of 196 full-term newborns from June 2012 to June 2014 were divided into observation group（ n = 92） and control group（ n = 104）. The observation group was treated with defecation intervention,while the control group was left untreated. The incidence rate of pathologic jaundice and the effect of defecation intervention on pathologic jaundice were observed. Results A total of 79 newborns had pathologic jaundice（ 40. 31%）. The bilirubin levels in cord blood of newborns with pathologic jaundice were higher than those of newborns without pathologic jaundice. The incidence rate of pathologic jaundice in observation group was lower than that in control group（ P 0. 05）. Conclusion The bilirubin level in cord blood may effectively predict the risk of incidence of hyperbilirubinemia,and defecation intervention may reduce the incidence rate of pathologic jaundice.

关 键 词：脐带血 胆红素 排便干预 高胆红素血症 新生儿 

分 类 号：R722.17[医药卫生—儿科]