新生儿黄疸产前危险因素的Logistic分析

Logistic Analysis of Prenatal Factors of Jaundice Mothers

目的分析新生儿黄疸的产前危险因素。方法选取2018年1月至2019年6月在灯塔市中医医院出生的467例新生儿黄疸足月新生儿作为试验组;选取同期在该院出生的467名健康足月新生儿作为对照组,分析新生儿黄疸的产前相关因素,并将相关因素代入Logistic分析,明确新生儿黄疸的产前危险因素。结果分娩方式、妊娠糖尿病、妊娠高血压综合征、羊水污染、宫内窘迫是新生儿黄疸的产前相关因素(P<0.05);Logistic分析结果显示,妊娠糖尿病、妊娠高血压综合征、羊水污染、宫内窘迫是新生儿黄疸的产前危险因素(OR>1,P<0.05)。结论妊娠糖尿病、妊娠高血压综合征、羊水污染、宫内窘迫是导致新生儿黄疸发生的产前危险因素;临床应根据上述因素,加强孕前健康宣教,完善孕期血压、血糖等早期筛查,同时加强围生期相关合并症的检查,并及时给予相应的干预与治疗,以预防新生儿黄疸发生,提高新生儿健康水平。

Objective To analyze the prenatal risk factors of neonatal jaundice.Methods 467 full-term newborns with neonatal jaundice born were selected as the experimental group in Dengta Hospital of Traditional Chinese MedicineFrom January 2018 to June 2019.467 healthy full-term newborns born in the hospital in the same period were selected as the control group to analyze the prenatal related factors of neonatal jaundice,and the related factors were substituted into logistic analysis to clarify the prenatal risk factors of neonatal jaundice.Results Mode of delivery,gestational diabetes mellitus,pregnancy-induced hypertension syndrome,amniotic fluid pollution,and intrauterine distress were prenatal related factors for neonatal jaundice(P<0.05).Intrauterine distress was a prenatal risk factor for neonatal jaundice(OR>1,P<0.05).Conclusions Gestational diabetes,pregnancy-induced hypertension syndrome,amniotic fluid pollution,and intrauterine distress are prenatal risk factors for neonatal jaundice.Based on the above factors,pre-pregnancy health education should be strengthened,and early screening of blood pressure and blood sugar during pregnancy should be improved.The examination of perinatal related complications,and timely intervention and treatment to prevent the occurrence of neonatal jaundice and improve the health of neonates.