新生儿黄疸的危险因素分析

Analysis of risk factors for neonatal jaundice

目的探讨可以导致新生儿黄疸的独立危险因素。方法选择78例2018年3月至2020年3月在我院出生的健康新生儿为对照组,另选78例同一时期在我院出生的黄疸新生儿作为观察组,收集两组新生儿及其母亲的临床资料,采用单因素检验分析的方法筛选出有临床意义的危险因素,然后通过Logistic线性回归分析的方法找出新生儿黄疸的危险因素。结果单因素分析结果显示,两组新生儿在是否存在宫内窘迫、出生前五天相对体重下降、新生儿窒息,孕母年龄、孕母是否存在妊娠期高血压、妊娠期糖尿病等方面差异具有统计学意义,Logistic回归分析筛选出新生儿出生前五天相对体重下降、孕母妊娠期高血压、妊娠期糖尿病为三个新生儿黄疸发生的独立危险因素。结论为了减少新生儿黄疸的发生率,需要积极控制新生儿出生前五天相对体重下降、孕母妊娠期高血压和妊娠期糖尿病这三个独立危险因素。

Objective To explore the independent risk factors that can cause neonatal jaundice.Methods A total of 78 healthy newborns born in our hospital from March 2018 to March 2020 were selected as the control group,and another 78 cases of jaundice newborns born in our hospital during the same period were selected as the observation group.The clinical data of the mother were screened for clinically significant risk factors using a single factor test analysis,and then the risk factors for neonatal jaundice were identified by Logistic linear regression analysis.Results The univariate analysis showed that there were differences between the two groups of infants in terms of intrauterine distress,relative weight loss five days before birth,neonatal asphyxia,maternal age,pregnancy pregnancy hypertension,and gestational diabetes.Statistical significance,Logistic regression analysis screened the relative weight loss of newborns five days before birth,maternal hypertension during pregnancy,and gestational diabetes mellitus as the three independent risk factors for neonatal jaundice.Conclusion In order to reduce the incidence of neonatal jaundice,it is necessary to actively control the three independent risk factors of relative weight loss in the first five days of life,maternal hypertension during pregnancy,and gestational diabetes.