新生儿病理黄疸42例病因分析及治疗研究

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目的:探究分析新生儿病理黄疸病因和治疗措施。方法:从2014年07月01日到`2015年12月31日一共是一年半时间内于我院住院治疗的新生儿病理黄疸42例为研究对象,随机分为采用常规治疗的对照组(21例),与在常规治疗为基础上采用药物治疗、光照治疗及常规治疗的观察组(21例),并对其进行的效果观察。结果:引起新生儿病理黄疸的主要病因是围产因素15例,占36%、感染因素15例,占36%,母乳性因素6例,占14%,其中感染因素主要有肺炎3例,占7%,皮肤感染2例,占5%,脐炎3例,占7%,其他7例,占17%。围产因素主要有宫内窘迫8例,占19%,早产3例,占7%,窒息1例,占3%,其他3例,占7%,溶血因素6例,占14%。其他因素观察组显效14例,占66%,有效6例,占29%,无效1例,占5%,总有效95%。对照组的显效10例,占47%,有效5例,占24%,无效6例,占29%,总有效71%,观察组的治疗效果明显高于对照组(P<0.05)。结论:新生儿病理黄疸主要是由感染因素、围产因素和母乳性因素引起,针对病因采取的有效的治疗措施,有效降低新生儿感染率,效果切实有效,值得推广~([1])。 Objective: To explore the etiology and treatment of neonatal pathological jaundice. Methods: From July 1, 2014 to December 31, 2015, a total of 42 cases of neonatal pathological jaundice hospitalized in our hospital within a year and a half were randomly divided into control group (n = 21 cases). The observation group (21 cases) was treated by conventional therapy, light therapy and conventional therapy, and the effect was observed. Results: The main causes of neonatal pathological jaundice were 15 cases of perinatal factors, 36%, 15 cases of infectious factors, accounting for 36%, breast milk factors in 6 cases, accounting for 14%, of which the main infection factors were pneumonia in 3 cases 7%, 2 cases of skin infections, accounting for 5%, 3 cases of omphalitis, accounting for 7%, the other 7 cases, accounting for 17%. Perinatal distress in 8 cases, accounting for 19%, premature birth in 3 cases, 7%, asphyxia in 1 case, 3%, the other 3 cases, accounting for 7%, hemolysis factors in 6 cases, accounting for 14%. Other factors observed in the observation group of 14 cases, accounting for 66%, effective in 6 cases, accounting for 29%, 1 case of ineffective, accounting for 5%, the total effective 95%. In the control group, there were 10 cases markedly effective, 47% effective, 5 effective, 24% effective, 6 ineffective, accounting for 29% and 71% effective. The treatment effect in the observation group was significantly higher than that in the control group (P <0.05). Conclusions: Neonatal pathological jaundice is mainly caused by infectious factors, perinatal factors and breast-milk factors. Effective treatment measures for the etiology are effective in reducing the neonatal infection rate, and the results are effective and worthy of promotion. [1]
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