剖宫产与新生儿高胆红素血症的关系探讨  

Study On the relationship of caesarean birth and neonatal hyperbilirubinemia

作　　者：王雪梅[1] 常艳美[1] 童笑梅[1] 孙晓菲[1] 焦利萍[1] 

机构地区：[1]北京大学第三医院儿科,100083

出　　处：《中国优生与遗传杂志》2003年第2期70-71,共2页Chinese Journal of Birth Health & Heredity

摘　　要：目的　探讨剖宫产分娩与新生儿高胆红素血症的关系。方法　对我院 2 0 0 0年 1月至 2 0 0 1年 9月期间在产科病房出生的新生儿进行微量血清胆红素测定 ,比较剖宫产娩出的新生儿与非剖宫产娩出的新生儿发生高胆红素血症的情况。结果　剖宫产组新生儿高胆红素血症的发生率为 39 6 % (4 70 / 1188) ,非剖宫产组新生儿高胆红素血症的发生率为 2 2 8%(2 4 5 / 10 74 ) ,两者差异有统计学意义 ,χ2 =73 2 ,P <0 0 5。剖宫产组中母亲有妊娠合并症者新生儿高胆发生率为 4 0 1%(10 0 / 2 4 9) ,母亲无妊娠合并症者新生儿高胆发生率为 39 4 % (370 / 939) ,两者差异无统计学意义 ,χ2 =0 0 4 7,P >0 0 5。结论　剖宫产可能是引起新生儿高胆红素血症的原因之一。Objective:To investigate the relationship of caesarean birth and hyperbilirubinemia of newborn.Methods:Detected micro scale serum bilirubin for newborn infants born in our hospital during the period of 2000.1 to 2001.9.Compared the incidence of hyperbilirubinemia within two neonatal groups,that is caesarean birth group and natural birth group.Results:The incidence of neonatal hyperbilirubiemia in caesarean birth group is 39.6%,which is significantly higher than that of natural birth group(22.8%),χ 2=73.2,P<0.05.There is no significant difference in the in cidence of neonatal hyperbilirubinemia between infants of mothers with and without pregnancy complications.χ 2=0.047,P>0.05.Conclusion Caesarean birth may be one of the cause of neonatal hyperbilirubinemia.

关 键 词：剖宫产 新生儿 高胆红素血症 剖宫产 催产素 

分 类 号：R722.1[医药卫生—儿科]