新生儿高胆红素血症的危险因素分析

Analysis of Risk Factors in Neonatal Hyperbilirubinem

对180例高胆红素血症新生儿以及对照组180例采用1：1进行流行病学对照研究，探讨新生儿高胆红素血症的危险因素。结果表明高胆红素血症与感染、产前健产素应用、母亲血压、血清T3、T4、TSH有关；用过催产素母亲所生的患儿在并发感染的基础上．发生高胆红素血症的机会效未用过催产素患儿高胆红素血症发生率明显增高。作者认为感染与母亲产程中应用催产素是新生儿高胆红素血症的危险因素，应当尽量避免危险因素，减少高胆红素血症的发生率。

The purpose of the study was to probe the risk factors of neonatal hyperbilirubinemiaand interaction of multiple factors and to treat cases so positively that incidence of the Kernicterus wasreduced. 180 neonates with hyperbilirubinemia and 180 normal neonates were studied by epidmiologicalmethod. The data was statistically analysed by EGRET software. Hyperbilirubinemia was related to infection, application of oxytocin in antepartum, blood pressure of mothers and concentration of serumT3,T4,TSH. Complicated with infection, the cases whose mother received oxytocin have higher incidence of hyperbilirubinemia than that of cases whose mother not. In conclusion, infection and application of oxytocin in antepartum are the risk factors of neonatal hyperbilirubinemia. We should avoid therisk factors and reduce incidence of hyperbilirubinemia as possible.