摘要
目的:探索新生儿高胆红素血症患儿围生期危险因素。方法:回顾性分析2017年6月22日-2018年6月22日本院收治的高胆红素血症新生儿100例的临床资料,比较不同特征新生儿的胆红素水平;分析新生儿出现高胆红素血症的危险因素。结果:不同性别新生儿胆红素比较,差异无统计学意义(P>0.05),早产儿、胎次>1胎、剖宫产、使用催产素、Apgar评分<7分、胎粪排出时间>24 h、开奶时间>24 h、围生期存在并发症新生儿的胆红素均高于足月儿、第1胎、顺产、未使用催产素、Apgar评分7~10分、胎粪排出时间≤24 h、开奶时间≤24 h、未发生并发症的新生儿,差异均有统计学意义(P<0.05);Logistic多元回归分析显示,胎龄、胎次、分娩方式、催产素、Apgar评分、胎粪排出时间、开奶时间、围生期并发症均是诱发新生儿出现高胆红素血症主要危险因素(P<0.05)。结论:胎龄、胎次、分娩方式、催产素、Apgar评分、胎粪排出时间、开奶时间、围生期并发症均是诱发新生儿出现高胆红素血症主要危险因素。
Objective:To explore the perinatal risk factors in neonates with hyperbilirubinemia.Method:The clinical data of 100 neonates with hyperbilirubinemia admitted to our hospital from June 22,2017 to June 22,2018 were retrospectively analyzed.The bilirubin levels of neonates with different characteristics were compared,the risk factors of neonatal hyperbilirubinemia were analyzed.Result:There was no significant difference in bilirubin between different gender(P>0.05),the bilirubin levels of preterm infants,fetuses>1 fetus,cesarean section,oxytocin use,Apgar score<7 points,meconium discharge time>24 hours,lactation time>24 hours,neonates with perinatal complications were higher than those of full-term infants,first fetus,spontaneous delivery,unused oxytocin,Apgar score 7-10 points,meconium discharge time<24 hours,lactation time<24 hours,and neonates without complications,the differences were statistically significant(P<0.05).Logistic multiple regression analysis showed that gestational age,parity,mode of delivery,oxytocin,Apgar score,meconium discharge time,milk opening time and perinatal complications were the main risk factors for neonatal hyperbilirubinemia(P<0.05).Conclusion:Fetal age,parity,mode of delivery,oxytocin,Apgar score,meconium discharge time,milk opening time and perinatal complications are the main risk factors for neonatal hyperbilirubinemia.
作者
郑启华
刘水源
黄志阳
王姗姗
林志成
ZHENG Qihua;LIU Shuiyuan;HUANG Zhiyang(Anhai Hospital of Jinjiang City,Jinjiang 362261,China)
出处
《中国医学创新》
CAS
2019年第20期109-112,共4页
Medical Innovation of China
关键词
新生儿
高胆红素血症
围生期
危险因素
Neonates
Hyperbilirubinemia
Perinatal period
Risk factors
