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目的:研究纯母乳开始喂养时间、喂养频率等因素对新生儿早期母乳性黄疽发生发展的影响。方法:选择258例血清胆红素水平偏高的母乳喂养新生儿作为研究对象,观察记录其生后两周内的黄疸变化情况,然后依据第6天和14天的黄疸好转与消退情况划分为A组(生理性黄疸组)和B组(早期母乳性黄疸组)。然后对两组的喂养时间、生后3d内每天喂养和排便次数等进行记录,并对比分析两组的相关黄疸指标。结果:根据出生后第六天血清胆红素>209mmol/L和<115mmol/L将其划分为A组和B组,A组人数为120例,B组人数为140例。出生后3天内A组的喂养频率为(5.7±2.0)次/天,B组的则为(3.6±1.7)次/天,A组和B组的第一次排胎便时间分别为(9±3)h和(13±6)h,黄便的时间分别为(51±17)h和(64±18),结果存在显著的统计学差异。结论:出现新生儿黄疸的原因和喂养方法不当有关。对早期母乳性黄疸患儿应该进行“按需哺乳”而不是单纯的增加喂养次数“。
Objective: To study the effects of exclusive breast feeding time, feeding frequency and other factors on the occurrence and development of early neonatal jaundice. Methods: A total of 258 newborns with high serum bilirubin level were selected as the study objects. The change of jaundice within two weeks after birth was observed. Then, the changes of jaundice on the 6th and 14th days were divided into Group A (physiological jaundice group) and Group B (early breast milk jaundice group). Then the feeding time of the two groups, daily feeding and defecation frequency in the third days after birth were recorded, and the relative jaundice index of the two groups were compared. Results: Based on the serum bilirubin> 209mmol / L and <115mmol / L on the sixth day after birth, they were divided into group A and group B, with 120 cases in group A and 140 cases in group B. The frequency of feeding in group A was (5.7 ± 2.0) / day within 3 days after birth and (3.6 ± 1.7) times per day in group B, and that in group A and group B was (9 ± 3) h and (13 ± 6) h, yellow stool time were (51 ± 17) h and (64 ± 18), the results there is a significant statistical difference. Conclusion: The causes of neonatal jaundice are related to improper feeding methods. In early breast milk jaundice children should be ”lactation on demand “ instead of simply increasing the number of feeding ”.