197例足月新生儿黄疸与围产因素的分析

Correlation analysis of 197 full-term newborns＇ jaundice and perinatal factor

目的了解分娩方式、使用催产素促产及新生儿体重对足月新生儿黄疸的影响，以期在临床上选择合适的分娩方式及适当使用催产素。方法对197例足月新生儿生后每天进行经皮胆红素（TCB）测定，TCB≥18为黄疸组，TCB〈18为非黄疸组，并根据顺产或剖宫产及是否使用催产素促产及新生儿体重分别进行比较。结果按分娩方式两组比较，差异无统计学意义（χ^2=0．254，P〉0．05），按是否使用催产素促产两组比较，差异无统计学意义（χ^2=0．911，P〉0．05），按新生儿体重，两组比较差异无统计学意义（χ^2=2．118，P〉0．05）。结论分娩方式、恰当使用催产素促产及新生儿体重对新生儿黄疸无影响。

Objective To understand the effect of delivery pattern, oxytocin used in mothers and newborns＇ body weight on full-term newborns＇ jaundice so as to choose the right delivery pattern and use oxytocin appropriately. Methods One hundred and ninety-seven full-term newborns were tested for transcutaneous bilirubinometer （TCB） daily after they were born,whose TCB was greater than or equal to 18 were jaundice group, and whose TCB was less than 18 were non-jaundice group, and were compared according to delivery pattern,used of oxytocin and newborns＇ body weight. Results Newborns＇ jaundice had no significant correlation with delivery pattern （χ^2 = 0.254, P 〉 0.05）, used of oxytocin （χ^2 = 0.911, P 〉 0.05）, and newboms＇ body weight（χ^2 = 2.118 ,P 〉 0.05 ）. Conclusion Delivery pattem , appropriate use of oxytocin and newborns＇ body weight have no effect on newborns＇ jaundice.