西藏住院分娩新生儿高胆红素血症危险因素分析  

Analysis on the risk factor of hyperbilirubinemia in hospital delivery newborn in Tibet

作　　者：春花[1,2] 普布卓玛[1,3] 普布央宗 巴拥 屈艺 CHUN Hua;Pubu-Zhuoma;Pubu-Yangzong;Bayong;Quyi(Department of Pediatrics,West China Second University Hospital,Sichuan Uaiversity,Chengdu 610041,China;School of Medicine,Tibet University,Lasha,850000 China;People 5 hospital of Lhasa,Lasha 850000,China)

机构地区：[1]四川大学华西第二医院,四川成都610041 [2]西藏大学医学院,西藏拉萨850000 [3]西藏拉萨市人民医院,西藏拉萨850000

出　　处：《高原科学研究》2018年第3期61-68,共8页Plateau Science Research

基　　金：西藏大学青年科研培育基金项目(ZDPJZK1608)

摘　　要：目的:探讨高海拔地区新生儿病理性黄疸的危险因素,为防治高胆红素血症提供理论依据。方法:采集西藏拉萨市人民医院(海拔3,600 m)2016年9月—2017年9月住院分娩新生儿,对其相关资料进行分析。结果:共采集315名黄疸新生儿,平均出生体重为3,128.5g,其中男婴为3,161.8 g,女婴3,087.4 g。生理性黄疸202例(占64.1%),病理性黄疸113例(占35.9%),病理性黄疸与胎龄、分娩方式、孕母肺部疾病、妊高症及胎膜早破等因素相关,差异有统计学意义(P <0.05)。结论:高海拔地区新生儿病理性黄疸患病率较高,剖宫产、早产、孕母肺部疾病、妊高症、胎膜早破是引起病理性黄疸的主要危险因素,应加强孕期保健,正确诊疗孕母基础疾病,可达到降低病理性黄疸患病率。The birth weight and the risk factors of pathological jaundice of newborn in high altitude area were investigated to provide a theoretical baseline for prevention and treatment of hyperbilirubinemia. A total of 315 newborns were as study objects and the related data were collected from the people＇s hospital of Lhasa from September 2016 to September 2017. The average birth weight of 315 newborns was 3,128.5g, 3,161.8g for boy infants and 3087.4g for girl infants .There were 202 cases of physiological jaundice （64.1%） and 113 cases of pathological jaundice （35.9 %）. The pathogenic jaundice is significantly correlated with fetal age, delivery pattern, maternal lung disease, pregnancy hypertension and premature rupture membranes （P〈0.05）. The incidence of pathological jaundice in newborns is high at high altitude area, and the cesarean section, premature delivery, maternal lung disease, pregnancy-induced hypertension, premature rupture membranes are the main risk factors for causing pathological jaundice. It is necessary to strengthen the health care during pregnancy, and correct diagnosis and pregnant mother＇ s basic diseases treatment which can reduce the prevalence of pathological jaundice.

关 键 词：新生儿 出生体重 病理性黄疸 危险因素 

分 类 号：R722.1[医药卫生—儿科]