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目的分析新生儿黄疸的发病原因,总结治疗体会,为临床提供参考。方法选择我院2010年6月至2012年5月收治的新生儿黄疸85例作为研究对象,回顾性分析其临床资料,分析其发生原因,总结临床治疗体会,观察治疗效果。结果新生儿黄疸的发生原因包括围产期窒息、感染、ABO溶血、蚕豆病、母乳等。经过吸氧、蓝光照射、抚触、抗感染、营养支持、纠正水电解质和酸碱失衡等治疗后,患儿血清总胆红素水平明显下降,差异有统计学意义(P<0.05)。其中3例患儿出现胆红素脑病,并发症发生率为3.53%,经对症治疗后均痊愈出院。结论新生儿黄疸在临床较为常见,产后仔细观察,针对病因采取及时的对症综合治疗可取得良好的效果。
Objective To analyze the etiology of neonatal jaundice, summarize the experience of treatment and provide reference for clinical practice. Methods 85 cases of neonatal jaundice in our hospital from June 2010 to May 2012 were selected as the research object. The clinical data were retrospectively analyzed, the causes were analyzed, and the experience of clinical treatment was summarized. The therapeutic effect was observed. Results neonatal jaundice causes include perinatal asphyxia, infection, ABO hemolysis, fava bean disease, breast milk and so on. The level of serum total bilirubin decreased significantly after oxygen, blue light exposure, touch, anti-infective, nutritional support, and correction of water, electrolyte and acid-base imbalance (P <0.05). Among them, 3 cases had bilirubin encephalopathy and the complication rate was 3.53%. All patients were discharged after symptomatic treatment. Conclusions Neonatal jaundice is more common in clinical practice. After birth, it is observed carefully and good results can be obtained in the timely and comprehensive treatment of symptomatic diseases.