183例新生儿病理性黄疸病因及治疗分析

目的:探讨新生儿病理性黄疸病因及其相关因素以及早期合理治疗对防止胆红素脑病的积极意义。方法:对183例新生儿病理性黄疸的临床资料进行回顾性分析。结果:新生儿病理性黄疸的主要病因为感染因素(49.4%)、围产因素(16.4%)、母乳性因素(15.8%)、不明因素(10.2%)、溶血因素(4.4%)及先天性因素(3.8%)。治疗主要以双面蓝光照射为主,补碱补液,对因治疗等。结论:积极防治新生儿感染,加强围产期保健,正确指导母乳喂养,严格掌握剖宫产指征,可减少新生儿病理性黄疸的发生,早期治疗可改善预后。

Analysis on etiology and therapeutic effects of 183 cases of newborn pathological jaundices

Objective：To explore etiological and related risk factors of pathological jaundice of newborn and evaluate the effects on the bilirubin encephalopathy in early stage.Methods：The pathogeny factors of 183 cases newborn pathological jaundices were analyzed retrospectively.Results：The pathogeny of newborn pathological jaundices was as follows： infection 90（49.4%）,perinatal period factors（16.4%）,breast milk jaundice（15.8%）,unknown causes（10.2%）,hemolytic disease（4.4%）,and inborn disease（3.8%）.Patients were put into treatment of Blue light exposure combined with relevant measure.Conclusions：It can decrease the occurrence of pathological care,provide correct guidance in breast milk feeding and decreasing rate of caesarean birth.The pathological jaundice of newborn could be well prevented by a series of treatments in duration of pregnancy.