影响母乳喂养新生儿腹泻发生的危险因子分析及建议  

Analysis of risk factors affecting neonatal diarrhea with breast-feeding and advice

作　　者：徐俊[1] 张凤葵[1] XU Jun;ZHANG Feng-kui(Dongguan humen hospital,Dongguan 523900,China)

机构地区：[1]广东东莞市虎门医院,广东东莞523900

出　　处：《吉林医学》2019年第3期485-488,共4页Jilin Medical Journal

摘　　要：目的:探讨影响母乳喂养新生儿腹泻发生的危险因子,并提出预防建议。方法:回顾性分析2016年5月～2018年7月收治的120例接受母乳喂养的新生儿的临床病例资料,根据其腹泻发生情况将其分为发生组与未发生组,并采用单因素分析及多因素Logistic回归分析法分析影响母乳喂养新生儿腹泻的危险因素,且提出预防建议。结果:120例母乳喂养的新生儿中有21例发生腹泻,腹泻发生率为17.50%;发生组剖宫产、出生时体重<2.5kg及母亲年龄≥30岁的构成比与未发生组比较,差异无统计学意义(P>0.05);发生组孕周<37周、母亲有家族过敏性疾病史、母亲有食物过敏史、母亲有烟酒嗜好、母亲食用海鲜、母亲有食用花生或鸡蛋过量情况、母乳脂肪含量≥4.2 g/L、母亲血清过敏原阳性及新生儿血清过敏原阳性的构成比均明显高于未发生组,差异有统计学意义(P<0.05),并经Logistic回归分析法分析,其均是影响母乳喂养新生儿腹泻的独立危险因素(OR=3.928、2.956、3.465、4.335、4.767、5.672、5.449、5.137、4.918,P<0.05)。结论:早产儿、母亲有家族过敏性疾病史、母亲食物过敏史、母亲烟酒嗜好、母亲食用海鲜、母亲过量食用花生或鸡蛋、母乳脂肪含量过高、母亲血清过敏原阳性以及新生儿血清过敏原阳性均是影响母乳喂养新生儿腹泻的独立危险因素,临床中可据此给予针对性预防措施,以减少腹泻发生,促进母乳有效喂养。Objective To explore the risk factors of affecting neonatal diarrhea with breast-feeding,and to put forward preventive measures.Method The clinical datas of 120 breast-feeding neonates were retrospectively analyzed from May 2016 to July 2018 in our hospital,and they were divided into occurrence group and non-occurrence group according to the incidence of diarrhea,then the risk factors of diarrhea in breast-feeding neonates were analyzed by single factor analysis and multiple factor Logistic regression analysis method,and put forward suggestions for prevention.Results There were 21 cases who occured diarrhea in the 120 breast-feeding neonates,and the incidence rate of diarrhea was 17.50%.There was no significant difference of the constituent ratios of the cesarean section,body weight<2.5 kg at birth and mother′s age≥30 years old between the occurrence group and the non-occurrence group(P>0.05).The constituent ratios of the gestational weeks<37 weeks,mother with family history of allergic diseases,mother with food allergy history,mother with hobby of smoking and drinking,mother′s diet seafood,mother with excessive consumption of peanuts or eggs,fat content of breast milk≥4.2 g/L,maternal serum allergen positive and neonatal serum allergen positive of the occurrence group were significantly higher than those of the non-occurrence group(P<0.05),and Logistic regression analysis showed that they were the independent risk factors for diarrhea in breast-feeding neonates(OR=3.928,2.956,3.465,4.335,4.767,5.672,5.449,5.137,4.918,P<0.05).Conclusion Premature infant,mother with family history of allergic diseases,mother′s food allergic history,mother′s smoking and drinking habits,mother′s eating seafood,mother′s excessive consumption of peanuts or eggs,high fat content of breast milk,positive serum allergens of mother and positive serum allergens of neonates all are the independent risk factors for diarrhea in breast-feeding neonates,Accordingly,and the targeted preventive measures can be taken in clinical wor

关 键 词：母乳喂养 新生儿 腹泻 危险因素 预防对策 

分 类 号：R722.132[医药卫生—儿科]