新生儿高胆红素血症与剖宫产及其它高危因素相关性分析

目的探讨新生儿高胆红素血症相关危险因素,为临床早防早治新生儿高胆红素血症提供参考依据。方法回顾性分析520例新生儿经皮胆红素的水平与相关联的产式及有无高危因素的关系。结果剖宫产新生儿总人数130例,其中47例需临床干预;非剖宫产新生儿总例数390例,其中87例需临床干预;其它高危因素组(头颅血肿、宫内感染及喂养困难及延迟排胎便的新生儿)总人数150例,其中45例需临床干预;无高危因素组总人数240例,其中42例需临床干预。统计显示,剖宫产组与非剖宫产组间比较差异有统计学意义(χ2=9.772;P<0.05)、剖宫产组与无其它高危因素组比较差异有统计学意义(χ2=16.061;P<0.05),剖宫产组与其它高危因素组比较差异无统计学意义(χ2=1.195),其它高危因素组与无高危因素组比较差异有统计学意义(χ2=8.322;P<0.05)。结论剖宫产与其它高危因素对新生儿高胆红素血症具有相关系,而剖宫产更甚。积极处理孕期疾病,严格掌握剖宫产指征,对于减少新生儿高胆红素血症的发生意义重大。

Objective To explore neonatal hyperbilirubinemia in order to find out and provide reference to it and so that to achieve the goal of ＂early treated and early prevention＂. Methods Retrospectively analysis of 520 cases of neonatal percutaneous bilirubin levels associated with production and there is no risk factors. Results Date shows that among 130 cesarean section cases there are 47 of them should accept Clinical intervention, while 390 non-cesarean section cases there are 87, for other 150 high-risk factor cases, there exist 45, and for 240 non high-risk factors there exist 42 cases. Conclusion Cesarean section and other high-risk factors are interrelate with neonatal hyperbilirubinemia, and cesarean section is more closely related. What＇s more, positively treated with pregnancy disease and seriously mastered cesarean section indications are of great significance of reducing neonatal hyperbilirubinemia.