摘要
目的对足月新生儿高胆红素血症的临床情况、影响因素及其治疗效果进行分析。方法方便选取2015年11月—2017年10月期间该院儿科收治足月新生儿高胆红素血症病例共180例作为该研究观察对象。对收集病例临床资料进行回顾分析。结果该组180例足月新生儿高胆红素血症病例中,共134例(74.44%)黄疸出现在日龄3~7 d内,占比最高;围产相关因素所致新生儿高胆红素血症发生率显著高于其他因素(P<0.05)。经治疗后共163例(90.56%)治愈;蓝光照射时间平均为(24.5±2.6)h,治疗后血清胆红素检出值显著低于治疗前(P<0.05)。结论足月新生儿高胆红素血症多发生于日龄3~7 d,围产、感染、以及母乳性黄疸、溶血性黄疸、以及新生儿湿肺等均是高胆红素血症的高危因素。临床确诊后需通过及时予以蓝光照射治疗的方式降低血清胆红素水平,以改善预后,预防并发症。
Objective This paper tries to analyze the clinical situation,influential factors and therapeutic effect of full-term neonatal hyperbilirubinemia.Methods 180 cases of full-term newborns with hyperbilirubinemia in pediatric department of this hospital were convenient selected and enrolled from November 2015 to October 2017 in this study.The clinical data collected were retrospectively analyzed.Results Among the 180 cases of full-term newborns with hyperbilirubinaemia,134 cases(74.44%)had jaundice within 3~7 d,accounting for the highest proportion;perinatally-related neonates incidence of HbA1c was significantly higher than other factors(P<0.05).After treatment,a total of 163 cases(90.56%)were cured;the average time of blue light irradiation was(24.5±2.6)h,the serum bilirubin value after treatment was significantly lower than that before treatment(P<0.05).Conclusion The full-term newborns with hyperbilirubinemia mostly occur at 3~7 d.Perinatal,infection,as well as breast milk jaundice,hemolytic jaundice,and neonatal wet lung are all hyperbilirubinemia high risk factors.After clinical diagnosis,it is necessary to reduce the level of serum bilirubin by means of blue light irradiation in time so as to improve prognosis and prevent complications.
作者
刘志强
LIU Zhi-qiang(Department of Pediatrics,Inpatient Section,Quangang District Hospital,Quanzhou,Fujian Province,362800 China)
出处
《中外医疗》
2017年第36期109-111,共3页
China & Foreign Medical Treatment
关键词
足月新生儿
高胆红素血症
高危因素
Full-term newborns
Hyperbilirubinemia
High risk factors
