缩宫素引产与脐带血胆红素浓度的相关性

Correlation between induced abortion with oxytocin and bilirubin concentration in umbilical cord blood

目的:探讨产前使用缩宫素引产分娩的新生儿与脐带血胆红素浓度的相关性。方法:分别选择缩宫素引产分娩的正常足月新生儿与产前未使用缩宫素引产的正常足月新生儿各60例,采集脐带血查血清胆红素浓度值,同时分批分期监测出生后的血清胆红素。新生儿在住院期间每天定时间、定人员、定仪器监测经皮胆红素值。结果:产前缩宫素引产分娩的新生儿血清胆红素值明显高于产前未使用缩宫素引产分娩的新生儿,前者高胆红素血症的发生率明显高于后者。结论:产前使用缩宫素引产的新生儿高胆红素的发生率高,出生后应该尽早结合经皮胆红素值给予干预,防止新生儿高胆红素血症的发生。

Objective：To explore the correlation between neonates born by induced abortion with oxytocin and bilirubin concentration in umbilical cord blood.Methods：60 normal full-term neonates born by induced abortion with oxytocin and 60 normal full-term neonates without induced abortion by oxytocin were selected,their umbilical cord blood samples were obtained to detect bilirubin concentration,then the serum bilirubin levels after birth were monitored in batches;the transcutaneous bilirubin levels of neonates were monitored with special staff and specific instruments during hospitalization at the same time.Results：The serum bilirubin level in neonates born by induced abortion with oxytocin was significantly higher than that without induced abortion by oxytocin,the incidence of hyperbilirubinemia of the former was significantly higher than that of the latter.Conclusion：The incidence of hyperbilirubinemia in neonates born by induced abortion with oxytocin is high,early intervention after birth should be performed combined with transcutaneous bilirubin level in order to prevent the occurrence of neonatal hyperbilirubinemia.