| 周建.晚期早产儿高胆红素血症临床特点分析[J].浙江中西医结合杂志,2014,24(9): |
| 晚期早产儿高胆红素血症临床特点分析 |
| Analysis on Clinical Characteristics of Hyperbilirubinemia in Late Preterm Infants |
| 投稿时间：2013-12-07 修订日期：2014-07-17 |
| DOI： |
| 中文关键词: 晚期早产儿 新生儿高胆红素血症 胆红素脑病 |
| 英文关键词:late preterm infants neonatal hyperbilirubinemia bilirubinSencephalopathy |
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| 中文摘要: |
| 目的：了解晚期早产儿高胆红素血症的临床特点。方法：回顾性分析2011年2月到2012年12月在永康市第一人民医院就诊的新生儿高胆红素血症患儿，其中晚期早产儿412例作为研究组及同期足月儿337例作为对照组；分析两组患儿伴随疾病的发生率；并比较两组患儿黄疸出现时间、黄疸消退时间、兰光照射总时间、黄疸高峰出现时间、再次黄疸发生率。结果：研究组与对照组在伴随疾病比较新生儿败血症、新生儿肺炎、湿肺、新生儿低血糖病，P值均小于0.05，有统计学意义。研究组与对照组黄疸特点比较，黄疸出现时间、黄疸消退时间、兰光照射时间、高峰出现时间以及再次黄疸率，P值均小于0.05，有统计学意义。结论：晚期早产儿高胆红素血症常伴随其他疾病，且持续时间长、再次黄染发生率高，临床应积极处理，避免过早出院，作好随访。 |
| 英文摘要: |
| Objective To investigate the clinical characteristics of Hyperbilirubinemia in late preterm infants.
Methods Medical history of 412 cases of late-preterm Hyperbilirubinemia (test group) and 337 cases of full-term Hyperbilirubinemia (control group) admitted by the First People’s Hospital of Yongkang from February 2011 to December 2012 were retrospectively analyzed; incidence of concomitant diseases, beginning and end time of icterus, total time of Blue Light irradiation, peak of icterus occurrence, and incidence of recurrence were compared between the two groups.
Results Incidence of concomitant diseases,neonatal sepsis, neonatal pneumonia, wet lung, neonatal hypoglycemia,all showed significant differences between the two groups (P<0.05).Beginning time of icterus, end time of icterus, total time of Blue Light irradiation, peak of icterus occurrence, and incidence of recurrence）, all showed significant differences between the two groups (P<0.05).
Conclusions Hyperbilirubinemia in late preterm infants is complicated with high incidence of concomitant diseases, lasts longer, and has high incidence of recurrence. This condition should be seriously dealt with - premature discharge should be avoid, and sufficient follow-up should be made.
KEYWORDS late preterm infants; neonatal hyperbilirubinemia ;bilirubin encephalopathy |
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