【摘要】 目的:探讨新生儿高胆红素血症(简称高胆)的产科原因。方法:选择2003年1月~2004年12月在产科出生的新生婴儿2170例,新生儿高胆624例,按其原因分成两组,进行回顾性分析。结果:624例高胆的原因:剖宫产368例,发生率36.90%。阴道分娩256例,发生率21.80%。剖宫产组黄疸出现时间(2.52±1.04)天,高峰时间(4.49±1.32)天,胆红素峰值(272.60±30.40)μmol/L。阴道分娩组黄疸出现时间(2.53±1.05)天,高峰时间(4.63±1.38)天,胆红素峰值(268.90±32.5)μmol/L。两组黄疸出现时间及程度比较差异无显著性(P>0.05),但两组平均胆红素峰值比较,差异有显著性(P<0.05)。结论:剖宫产、第二产程延长、新生儿窒息可能是引起新生儿高胆的围产因素。更多还原

【Abstract】 Objective:To investigate the factors in neonates with hyperbilimbinemia.Methods:2 170 cases divided into two groups on their accounts were analyzed retrospectively from Jan 2003 to Dec 2004.Among them there were 624 with hyperbilinubinemia.Results:368 cases in cesarean group was 36.9% and 256 cases in vaginal delivery group was 21.8%.It was shown: time of jaundice (2.52±1.04) d and (2.53±1.05)d, peak time (4.49±1.32) and (4.63±1.38) d, and peak value of bilirubin (272.60±30.40) μmol/L and (268.90±32.50) μmol/L respectively in the former and the later. There was no significant difference in the comparison of jaundice time and its extent (P>0.05).But there was a significant difference in mean peak value of bilirubin (P<0.05).Conclusion:The asphyxia neonatorum may cause factors of hyperbilirubinemia with prolonged second stage of cesarean.更多还原