新生儿早发型母乳性黄疸发生状况及气质类型分析  

The development status of neonate praecox breast-feeding jaundice and analyses of temperament types

作　　者：贾丽芳 李日清 苏娟娟 

机构地区：[1]山西省汾阳医院,山西·汾阳032200

出　　处：《临床心身疾病杂志》2016年第5期115-117,共3页Journal of Clinical Psychosomatic Diseases

摘　　要：目的了解新生儿早发型母乳性黄疸发生状况及气质类型，为新生儿保健提供依据。方法对150名新生儿是否罹患早发型母乳性黄疸状况进行统计，并于出生后4d-7d进行气质测定、20项新生儿行为评价、胆红素水平测定，于出生40d-42d后再次进行气质测定。结果本组新生儿早发型母乳性黄疸发生率为40．0％，出生4d-7d和40d-42d气质类型均以中间型为主，分别占79．3％、70．0％。不同性别新生儿出生4d-7d气质类型比较差异有显著性（P〈0．05）；是否罹患早发型母乳性黄疸新生儿出生4d-7d气质类型比较差异无显著性（P〉O．05），气质类型均以温和型和兴奋型居多。结论新生儿早发型母乳性黄疸发生率较高，气质类型以中间型为主，应根据其气质类型予以有针对性的早期干预降低黄疸发生率。Objective To survey the development status of neonate praecox breast-feeding jaundice （PBFJ） and temperament types in order to provide basis for neonate health care. Methods The development status of neonate PBFJ was added up in 150 neonates, temperament evaluations were carried out in 4-7days after birth, neonatal behavioral assessments with the Neonatal Behavioral Neurological Assessment （NB- NA） and bilirubin levels detections, and temperament evaluations again in 40-42 days after birth. ResultsThe incidence of neonate PBFJ was 40.0% in the neonates, temperament types were mainly intermediate in 4-7 and 40-42 days after birth, made up 79.3% and 70.0% respectively. There was significant gender difference in temperament types in 4-7 days after birth （P〈0.05） ; there was significant difference in temperament types between neonates with and without PBFJ in 4-7 days after birth （P〈0.05）, temperament types were mainly gentle and excited. Conclusion The incidence of neonate PBFJ is higher, temperament type mainly intermediate, and purposeful early interventions should be given according to temperament types to reduce the incidence of jaundice.

关 键 词：新生儿 黄疸 早发型母乳性黄疸 气质 胆红素 20项新生儿行为测定与评价 

分 类 号：R722.17[医药卫生—儿科]