喂养方式与新生儿高胆红素血症的关系

将229例足月健康新生儿(Apgar评分8～10分)按照喂养的方式分为母婴同室和混合喂养两组,观察在两种喂养方式下高胆红素血症的发病率和血清胆红素的水平。结果表明,两组新生儿的高胆红素血症发病率没有显著性差异,母婴同室的高胆红素血症发病率并没有高于混合喂养组,但母婴同室组的血清胆红素水平却明显低于混合组(P<0.02)。尤其在不明原因黄疸的新生儿中,两种喂养方式下的血清胆红素水平有非常显著的差异(P<0.001)。喂养方式在ABO血型不合、G-6-PD缺陷、母HBsAg阳性等因素组的新生儿高胆红素血症的发病率和血清胆红素水平中影响不大。母婴同室可降低新生儿血清胆红素水平,提高新生儿的机体状态。

Relationship of the Feeding Methods to Neonatal Hyperbilirubinemia

229 cases of full-term and healthy neonates in this study were divided into the group of the breast-feeding rooming-in and the group of the mixed feeding according to the feeding methods. The incidence of hyperbilirubinemia and the level of serum bilirubin were observed in two groups. The result showed that the incidence of hyperbilirubinemia did not differ significantly in two feeding methods, but the level of serum bilirubin in the group of breast -feeding rooming -in was significantly lower than that in the group of mixed feeding (P<0.02), and there was significant difference (P<0.001) in two feeding methods, especially in the neonates with uncertain caused jaundice. The finding suggested that relationship of feeding methods to incidence of hyperbilirubinemia was not affected by the factors of unmatched ABO blood type, G-6-PD deficiency and HBsAg-positive in mother. The breast-feeding rooming-in may reduce the level of serum bilirubin in neonates, and improve the body condition of the neonate.