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足月新生儿贫血发生时间及影响因素的研究 被引量:12

Study on onset time and influencing factors of anemia in term neonates
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摘要 目的:探讨足月新生儿贫血发生时间及其影响因素。方法:对收治的287例发生贫血的足月新生儿进行回顾性研究,分析足月新生儿贫血发生时间与性别、胎龄、出生体质量、溶血、失血等多种因素的相关性。结果:47%足月新生儿贫血发生在生后1周内,32%发生在生后第2周,13%发生在生后第3周,8%发生在生后第4周。早期贫血足月新生儿中溶血及宫内窘迫、生后窒息发生率较晚期贫血足月新生儿高,差异有统计学意义(P<0.01)。早期贫血足月新生儿的出生体质量较晚期贫血足月新生儿大(P<0.05),初始出现贫血时平均红细胞体积(MCV)较晚期贫血足月新生儿高(P<0.05),但感染发生率却较晚期贫血足月新生儿低(P<0.01)。结论:足月新生儿贫血多发生在生后3周内,且溶血及围产期缺氧与足月新生儿早期贫血密切相关,感染与足月新生儿晚期贫血密切相关。 Objective: To explore the onset time and influencing factors of anemia in term neonates. Methods : A total of 287 term neonates with anemia who were treated in the hospital were analyzed statistically, the correlation between the onset time of anemia in term ne- onates and gender, fetal age, birth weight, hemolysis, and blood loss was analyzed. Results: The incidences of neonatal anemia within one, two, three, and four weeks after birth was 47% , 32% , 13% , and 8% , respectively. The incidences of intrauterine distress and asphyxia after birth in term neonates with early anemia were statistically significantly higher than those in term neonates with late anemia ( P 〈 0. 01 ) ; the birth weight of term neonates with early anemia was statistically significantly .higher than that of term neonates with late anemia ( P 〈 0. 05 ) . The mean corpuscular volume (MCV) of term neonates with early anemia was statistically significantly higher than that of term neo- nates with late anemia ( P 〈 0. 05 ) . The incidence of infection in term neonates with early anemia was statistically significantly lower than that in term neonates with late anemia (P 〈 0. 01 ) . Conclusion: Anemia mostly occurs in term neonates within three weeks after birth, he- molysis and hypoxia during perinatal period are closely correlated with early anemia in term neonates, infection is closely related to late ane- mia in term neonates.
出处 《中国妇幼保健》 CAS 北大核心 2012年第27期4229-4231,共3页 Maternal and Child Health Care of China
关键词 足月儿 贫血 溶血 缺氧 感染 Term neonate Anemia Hemolysis Hypoxia Infection
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  • 1Hemdndez - Mart-nez C, Canals J, Aranda Net al. Effects of iron deficiency on neonatal behavior at different stages of preg- nancy [J] . Early Hum Dev, 2011, 87 (3) : 165.
  • 2Riggins T, Miller NC, Bauer PJ et al. Consequences of low neonatal iron status due to maternal diabetes mellitus on explic- it memory performance in childhood [J] . Dev Neuropsychol, 2009, 34 (6) : 762.
  • 3冯淑文.新生儿贫血[J].国外医学:输血及血液学分册,1986,9(4):279-279.
  • 4彭华,童笑梅.早产儿贫血的相关因素分析[J].中国当代儿科杂志,2008,10(5):589-592. 被引量:51
  • 5王立玲,杨波.促红细胞生成素在早产儿贫血和脑保护方面的研究进展[J].实用儿科临床杂志,2008,23(2):152-154. 被引量:24
  • 6Aher S, Malwatkar K, Kadam S. Neonatal anemia [J] . Semin Fetal Neonatal Med, 2008, 13 (4) : 239.
  • 7Lozoff B, De Andraca 1, Castillo M et al. Behavioral and devel- opmental effects of preventing iron - deficiency anemia in healthy full-term infants [J] . Pediatrics, 2003, 112 (4): 846.
  • 8Shafir T, Angulo - Barroso R, Jing Yet al. Iron deficiency and infant motor development ( J) . Early Hum Dev, 2008, 84 (7): 479.
  • 9Biran V, Fau S, Jamal T et al. Perinatal asphyxia may present with features of neonatal atypical hemolytic uremic syndrome [J]Pediatr Nephrol, 2007, 22 (12) : 2129.
  • 10邵肖梅,叶鸿瑁,丘小汕.实用新生儿学[M].第4版.北京:人民卫生出版社,2011:307.

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