摘要
目的探讨引起新生儿重症高胆红素血症的临床危险因素。方法选择102例于重症高胆红素血症患儿作为研究组,选择轻度高胆红素血症患儿176例作为对照组,应用Logistic回归模型,对临床常见的病因如感染、早产、头颅血肿、窒息、ABO溶血、母乳及原因不明进行回顾性分析。结果感染是引起新生儿高胆红素血症的最常见原因,其次是原因不明、母乳、早产、溶血、头颅血肿、窒息。应用Logistic回归分析显示,研究组与对照组对比,只有感染、早产、原因不明在2组间差异存在统计学意义。结论感染、早产、原因不明为新生儿重症高胆红素血症的危险因素,其中原因不明引起的新生儿重症高胆红素血症将是未来探讨的重点,新生儿高胆红素血症的病因也发生了明显的变迁。
Objective It is to investigate the clinical risk factors for neonatal severe hyperbilirubinemia. Methods 102 ca- ses of children with severe hyperbilirubinemia were selected as study group, and 176 cases of slight hyperbilirubinemia were selected as control group. Clinical risk factors including infection, premature birth, cephalohematoma, asphyxia, ABO incom- patibility, breast milk and unexplained reasons were all retrospectively analyzed by the Logistic regression models. Results Of the seven risk factors, the most prevalent factor was infection, the second were unexplained reason, breast milk, premature birth, ABO incompatibility, cephalohematoma, asphyxia. Using Logistic regression analysis showed that the statistical signifi- cance clinical risk factors indentified were infection, premature hirth, unexplained reasons. Conclusion Clinical risk factors for neonatal severe hyperbilirubinemia were infection, premature birth, unexplained reasons, unexplained reasons will be the focus in the future study,the cause of neonatal hyperbilirubinemia also has a marked change.
出处
《现代中西医结合杂志》
CAS
2013年第22期2424-2426,共3页
Modern Journal of Integrated Traditional Chinese and Western Medicine
