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目的 :分析窒息缺氧程度与新生儿高胆红素血症 (简称高胆 )的关系。方法 :选择 1998～ 2 0 0 0年期间的窒息儿 112例 (其中轻度窒息组 5 0例 ,重度窒息组 62例 ,无窒息组 5 0例 (对照组 )进行胆红素水平的测定。结果 :轻度窒息组、重度窒息组、对照组胆红素血症发生率分别为 3 2 .0 % (16/5 0 )、2 2 .6% (14 /62 )、5 0 % (2 5 /5 0 ) ,差异有显著性 (χ2 =9.40 3 ,P<0 .0 1) ,其中轻度窒息组与对照组 (χ2 =3 .3 48,P>0 .0 5 ) ,轻、重度窒息组间 (χ2 =1.2 5 2 ,P>0 .0 5 )在发生高胆方面差异无显著性 ,但重度窒息组明显低于对照组 (χ2 =9.169,P<0 .0 1)。其胆红素值明显低于轻度窒息组及对照组 (P<0 .0 1)。结论 :窒息缺氧程度越重 ,胆红素水平越低。
Objective: To analyze the relationship between asphyxia and neonatal hyperbilirubinemia (referred to as hypercholesterolemia). Methods: A total of 112 children with asphyxia between 1998 and 2000 (including 50 asymptomatic asphyxia group, 62 asymptomatic asphyxia group and 50 asymptomatic group (control group)) were selected for bilirubin determination. Results: The incidences of bilirubin in mild asphyxia group, severe asphyxia group and control group were 32.0% (16/5 0), 22.6% (14/62), 50% (2) (Χ2 = 9.403, P <0.01). There was significant difference between mild asphyxia group and control group (χ2 = 3.338, P> 0.05) Severe asphyxia group (χ2 = 1.2 5 2, P> 0.05) in the occurrence of high gall was no significant difference, but severe asphyxia group was significantly lower than the control group (χ2 = 9.169, P <0.01). The bilirubin value was significantly lower than mild asphyxia group and control group (P0.01) .Conclusion: The more asphyxiated hypoxia, the lower the level of bilirubin.