236例新生儿高胆红素血症病因分析

Cause of neonatal hyperbilirubinemia:analysis of 236 cases

目的探讨新生儿高胆红素血症的病因,为其防治提供依据。方法回顾性分析236例新生儿高胆红素血症患儿的临床资料。结果新生儿高胆红素血症的病因依次为:围产因素82例(34.75%),围产+感染53例(22.46%),感染因素36例(15.25%),母乳性黄疸27例(11.44%),其他因素26例(11.02%),原因不明12例(5.08%)。结论加强围生期保健,减少人为剖宫产,使用催产素,积极防治新生儿感染,合理进行母乳喂养,是降低新生儿高胆红素血症发生率的有效措施。

Aim To explore the causes of neonatal hyperbilirubinemia.Methods Retrospective analysis of 236 causes of neonatal hyperbilirubinemia was made with clinical data.Results The causes of neonatal hyperbilirubinemia were as follows：perinatal factors 82（34.75%）,perinatal factor plws infection 53（22.46%）,infection 36（15.25%）,breast milk jaundice 27（11.44%）,other causes 26（11.02%）and unknown causes 12（5.08%）.Conclusions Strengthening health care of perinatal period,reducing unnecessary cesarean section and the use of oxytocin,prevention and treatment of neonatal infection,rational breast feeding are essential to decrease the occurrence of neonatal hyperbilirubinemia.