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目的探讨剖宫产分娩与新生儿高胆红素血症(简称,高胆)的关系。方法对我院2003年1月至2004年12月期间在产科出生的新生儿进行病例对照研究,通过监测经皮胆红素、血清胆红素,比较剖宫产与非剖宫产娩出新生儿发生高胆的情况。结果多因素分析结果显示影响新生儿高胆红素血症的因素包括:剖宫产、母乳缺乏、生后头3天体重下降明显、高龄初产、胎龄、宫内窘迫等,剖宫产组新生儿高胆发生率为36.9%,非剖宫产组新生儿高胆发生率为21.8%,两者差异有显著性(P<0.01)。剖宫产组中母亲有妊高征者新生儿高胆发生率略高于母亲无妊高征者,两者间差异无显著性(P>0.05);两组患儿合并窒息、缺氧缺血性脑病(HIE)、吸入综合征、感染等疾病对高胆的影响差异无显著性(P>0.05)。结论剖宫产可能是引起新生儿高胆的原因之一。
Objective To investigate the relationship between cesarean section delivery and neonatal hyperbilirubinemia (abbreviation, hypercholesterolemia). Methods A case-control study on obstetric-born newborns from January 2003 to December 2004 in our hospital was conducted. The perinatal bilirubin and serum bilirubin were monitored to compare the newborns with those without cesarean section High courage occurs. Results The results of multivariate analysis showed that neonatal hyperbilirubinemia factors include: cesarean section, lack of breast milk, body weight loss significantly after the first 3 days of life, advanced age, gestational age, intrauterine distress, cesarean section The incidence of neonatal hypercholesterolemia was 36.9%, and that of non-cesarean section was 21.8%. There was a significant difference between the two (P <0.01). In the cesarean section, the incidence of neonatal hypercholesterolemia in mothers with PIH was slightly higher than that in non-PIH mothers (P> 0.05). There was no significant difference between the two groups Hypertensive encephalopathy (HIE), Inhalation syndrome, Infection and other diseases on the impact of high-bile no significant difference (P> 0.05). Conclusion Cesarean section may be one of the causes of neonatal hypercholesterolemia.