新生儿黄疸与出生后体重下降相关性分析

Analysis of correlation between neonatal jaundice and weight loss after birth

目的探讨新生儿黄疸与出生后体重下降两者相关性。方法选取2015年1月至2016年5月于我院妇产科接生的120例足月新生儿作为研究对象,连续监测新生儿出生后3 d内体重变化情况以及胆红素水平,根据出生后测量的第72小时经皮胆红素水平将所有研究对象分为正常组(经皮测量胆红素值<11.0 mg/dl)、临界组(11.0 mg/dl≤经皮测量胆红素值≤12.9 mg/dl)以及发病组(经皮测量胆红素值>12.9 mg/dl),分析新生儿黄疸与出生后体重下降两者相关性。结果发病组新生儿第48小时、第72小时体重下降均值明显高于正常组、临界组(P<0.05);发病组新生儿于出生后第24小时、48小时、72小时经皮胆红素水平均明显高于正常组、临界组(P<0.05)。结论新生儿黄疸与出生后体重下降存在相关性,临床中要以此为基础采取科学有效的措施加强干预,出现异常要及时到医院就诊。

Objective To investigate the correlation between neonatal jaundice and weight loss after birth. Methods 120 cases of full-term newborns in obstetrics and gynecology department of our hospital from January 2015 to May 2016 were selected as the research object, the changes of body weight and bilirubin levels were monitored in 3days after birth, according to the measurement of seventy-second hours after the birth of pereutaneous bilirubin levels, all subjects were divided into normal group （percutaneous bilirubin measurement, 〈 11.0 mg/dl） and the critical group （11.0 mg/dl〈percutaneous bilirubin measurement value ~〈 12.9 mg/dl） and the onset group （ percutaneous bilirubin measurement value 〉 12.9 mg/dl）. The correlation between neonatal jaundice and birth weight loss was analyzed. Results The mean value of forty-eighth hours and seventy-second hours of weight loss in the onset group was significantly higher than that in the normal group and the critical group （P〈 0. 05 ） ; the incidence of neonates born after twenty-fourth hours, 48 hours, 72 hours of bilirubin levels were significantly higher than those in normal group, critical group （P〈0. 05 ）. Conclusions There is a correlation between neonatal jaundice and weight loss after birth. We should take scientific and effective measures to strengthen the intervention on the basis of clinical symptoms.