郴州地区住院新生儿高胆红素血症临床特点及病因构成分析  

Analysis on clinical characteristics and etiology constituent of neonatal hyperbilirubinemia in Chenzhou area

作　　者：李莉萍[1,2] 李胜涛[1,2] 史文元[1,2] 彭小友 徐玉娟[1,2] 李芬[1,2] 

机构地区：[1]郴州市第一人民医院郴州儿童医院检验科,湖南郴州423000 [2]郴州市第一人民医院郴州儿童医院新生儿科,湖南郴州423000

出　　处：《国际检验医学杂志》2016年第1期37-39,共3页International Journal of Laboratory Medicine

摘　　要：目的通过分析该院新生儿高胆红素血症临床特点和相关检测结果,了解该地区新生儿高胆红素血症医院临床特点及病因。方法选取该院2012年1～12月新生儿科及新生儿重症监护科发生高胆红素血症患儿共534例,并统计分析患儿的临床和检验相关资料。结果患新生儿G-6PD酶缺乏者占高胆红素血症新生儿7.9%,新生儿ABO溶血病占高胆红素血症的18.04%,新生儿高胆红素血症中巨细胞病毒感染者占28.1%,细菌感染者占27.4%。结论该地区新生儿高胆红素血症患儿病因构成以感染性因素为主,早产儿相对足月儿易患高胆红素血症,加强患儿胆红素水平监测,并对检验结果和病因进行分析,可有效预防和降低高胆红素血症对新生儿的损害。Objective To understand the hospital clinical characteristics of neonatal hyperbilirubinemia and etiological factors by analyzing the characteristics of neonatal hyperbilirubinemia and related testing results in our hospital.Methods A total of 534 cases of neonatal hyperbilirubinemia in the neonatology department and neonatal ICU of our hospital from January 2012 to December 2012 were selected and their clinical and laboratory related data were performed the statistical analysis.Results The neonatal patients with glucose-6-phosphate（G-6-PD）dehydrogenase deficiency accounted for 7.9% of neonatal hyperbilirubinemia,neonatal ABO hemolytic disease accounted for 18.04%,cytomegalovirus infection accounted for 28.1% and bacterial infections accounted for27.4%.Conclusion The etiological constituent of neonatal hyperbilirubinemia in this area is mainly the infectious factors.Preterm newborns are susceptible to suffer from hyperbilirubinemia than the full-term newborns.Strengthening the neonatal bilirubin level monitoring and analyzing the detection results and etiological factors can effectively prevent and reduce the damage of hyperbilirubinemia on newborns.

关 键 词：新生儿高胆红素血症 临床资料 检测结果 构成分析 

分 类 号：R722.1[医药卫生—儿科]