摘要
目的:研究窒息新生儿中黄疸发生情况及窒息程度与血清胆红素水平的关系。方法:以110例窒息新生儿为研究对象,其中重度窒息组42例,轻度窒息组68例,101例无窒息新生儿为对照组,比较三组黄疸发生及治疗情况,研究窒息程度与黄疸的相关性。结果:三组黄疸发生率分别为31.7%、17.6%、4.8%,差异有统计学意义(P<0.05);三组血清胆红素水平分别为205.7μmol/L、131.2μmol/L、43.2μmol/L,差异均有统计学意义(P<0.05)。其中窒息组黄疸发生率、血清胆红素水平较低,窒息新生儿Apgar评分与血清胆红素水平呈负相关(r=-7.228,P<0.05),窒息新生儿黄疸消退时间较长。结论:窒息新生儿血清胆红素偏低与胆红素消耗有关,对于窒息新生儿血清胆红素水平应结合临床综合考虑,做出正确评估。
Objective： To study relationship between the degree of asphyxia and jaundice in newborn. Methods： 110 asphyxiated newborn were selected as the object of study, including 42 cases of severe asphyxia group, 68 cases of mild group, 101 cases of suffocation newborns for the control group. Occurrence and treatment of jaundice were compared among three groups, suffocation degree jaundice corre- lation was observed. Results： Jaundice of three groups was respectively 31.7%, 17.6% and 4. 8% respectively, there were significant differences among three groups （ P 〈 0.05 ）. Serum bi].irubin level in three groups were 205.7, 131.2, 43.2 ixmol/L, there were significant differences （P 〈 0.05 ） . The incidence rate of jaundice in asphyxia group, serum bilirubin level were low, asphyxia of newborn Apgar score and serum bilirubin level was negatively correlated （ r = - 7. 228, P 〈 0. 05 ）. Time of eliminating jaundice of asphyxia newbom was longer. Conclusion ： The low bilirubin in asphyxia neonatal is related with bilirubin consumption. Serum bilirubin levels should be considera- ted in conjunction with clinical considerations, to make a correct assessment of the condition of neonates with asphyxia.
出处
《中国妇幼保健》
CAS
北大核心
2013年第24期3949-3951,共3页
Maternal and Child Health Care of China
关键词
新生儿窒息
病理性黄疸
胆红素
Neonatal asphyxia
Pathological jaundice
Bilirubin
