母乳性黄疸106例临床分析

Clinical analysis in 106 cases of breast milk jaundice

目的:总结106例母乳性黄疸的治疗经验,探讨分析母乳性黄疸发病机制。方法:将某医院2007～2011年收治母乳性黄疸106例随机分为两组,治疗组62例口服茵栀黄口服液、妈咪爱治疗,同时停喂母乳喂养;对照组44例继续给予母乳喂养,适当增加哺乳次数,未予特殊治疗。结果:治疗组62例患儿均有效,平均起效时间1～3d,黄疸消退时间5～10d。总有效率100%,对照组为56.5%,两组总疗效比较差异有显著性,P<0.01。结论:口服茵栀黄口服液、妈咪爱可促进母乳性黄疸的消退,配合停喂母乳可加速黄疸的消退。加强孕期保健,减少围生期并发症及产后感染的发生,是减少高胆红素血症的关键。

Objective： Through analysis of breast milk jaundice pathogenesis, 106 cases of breast milk jaundice treatment experience have been summarized. Method：Breast milk jaundice 106 cases were randomly divided into 2 groups, the treatment group 62 cases,of Oraled administration of Yinzhihuang oral liquid and Medilac-Vita（Combined Bacillus Subtilis and Enterococcus Faecium Granules with Mutivitamines,Live） and at the same time stopped feeding breast feeding. In the control group of 44 cases Continue to breast feeding and increase appropriate in lactation num- ber, No special treatment. Result：62 cases in the treatment group were effectively,The average onset time of 1 day to 3 days,The jaundice subsided time 5 days to 10 days.The total efficiency of 100% in the treatment group,The efficiency of 56.5% in the control group.Total efficacy difference was significant（P〈0.O1） between the two groups.Conclusion：O- ral administration of Yinzhihuang oral liquid, and Medilac-Vita（Combined Bacillus Subtilis and Enterococcus Faeci- um Granules with Mutivitamines,Live） can promote breast milk jaundice subsided, with stop breastfeeding can accel- erate the jaundice subsided. It is necessary to raise awareness of breast milk jaundice. In addition, to improve the un- derstanding of clinical neonatal hyperbilirubinemia, strengthen health care during pregnancy, to reduce the occur- rence of perinatal complications and postpartum infection, is also the key to reducing hyperbilirubinemia.