新生儿病理性黄疸治疗状况相关因素分析

Related Factors of Treatment Status of Pathological Jaundice of Newborn

目的:研究分析新生儿病理性黄疸(pathological jaundice of newborn,PJON)治疗状况的相关因素。方法:选择2013年7月至2014年6月治疗的PJON新生儿828例进行研究。根据治疗方式将患儿进行分组,其中接受蓝光治疗组401例,不接受蓝光治疗组427例。采用我院自拟的"新生儿病理性黄疸调查问卷"对所有新生儿PJON患儿的父母进行调查,分析新生儿病理性黄疸的病因,新生儿病理性黄疸治疗状况的单因素以及多因素情况。结果:新生儿病理性黄疸的病因中,早产与感染的构成比最高,分别为36.96%与42.75%。接受蓝光治疗组中,父母的文化水平为高中及以上者、家庭收入≥5000者、生育过病理性黄疸患儿者的比例均分别显著高于对照组,差异均有统计学意义(均P<0.05)。根据Logistic回归分析可知,父母的文化水平为高中及以上、家庭收入≥5000以及生育过病理性黄疸患儿均为影响新生儿病理性黄疸治疗的危险因素。结论:父母的文化水平为高中及以上、家庭收入≥5000以及生育过病理性黄疸患儿均为影响新生儿病理性黄疸治疗的危险因素。临床治疗时应重点对患儿父母做好宣教及引导,使其认识到疾病治疗的紧迫性并自主接受治疗。

Objective：To study the related factors of treatment status of newborn with pathological jaun-dice （ PJON） .Method：138 newborn with PJON from May 2012 to May 2014 in our hospital were divided into two groups according treatment methods.68 cases in the study group received blue ray for treatment, while 70 cases in the control group did not accept the blue ray.The＆quot;Questionnaire＆quot;survey was used for all PJON in our hospital, and analyzed the causes of PJON, single factor and multi factors of PJON.Result：The causes of PJON in preterm birth and infection were the highest, respectively 36.96%and 42.75%.In blue light treatment group, parents＆#39;cultural level to high school and above, more than 5000 Yuan of family income, family had pathological jaundice of the ratio were significantly higher than those in the control group, the difference was statistically significant （ P＆lt;0.05） .According to Logistic regression analysis, par-ents＆#39;cultural level for senior high school and above, more than 5000 Yuan of family income and fertility in neonates with pathologic jaundice were the risk factors of neonatal pathological jaundice.Conclusion： Par-ents＆#39;cultural level to high school and above was more than 5000 of family income and fertility in neonates with pathologic jaundice are the risk factors of neonatal pathological jaundice treatment.The treatment should focus on the education and guidance to the parents of sick childrenIt is worthy of attention.