喂养方式对新生儿高未结合胆红素血症早期疗效的影响.pdfVIP

《中外医学研究》第 11 卷 第 31 期（总第 219 期）2013 年 11月　　论　　著 Lunzhu 喂养方式对新生儿高未结合胆红素血症早期疗效的 影响 　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　陈风展① 【摘要】　目的： 方法： 　　 探讨喂养方式对新生儿高未结合胆红素血症早期疗效的影响。 对新生儿高未结合胆红素血症住院患儿的临床资料进行回 顾分析，比较母乳喂养组与配方奶喂养组在以光疗为主的综合治疗 ( 两次光疗 12 h) 后总胆红素 (TSB) 降低量的不同。结果：两组患儿胎龄、出生体 重、性别、入院时的年龄、给予肝酶诱导剂和茵栀黄的比例、入院时的 TSB 比较差异无统计学意义 (P0.05)，母乳喂养组在以光疗为主的综合治疗 ( 两次光疗 12 h) 后 TSB 降低量明显低于配方奶喂养组，差异有统计学意义 (P=0.020)。结论：母乳喂养的高未结合胆红素血症新生儿在以光疗为主的 综合治疗早期疗效可能更好。 【关键词】　 　　 母乳喂养；　配方奶喂养；　新生儿；　高未结合胆红素血症；　早期疗效 　　 中图分类号　R72 文献标识码　A 文章编号　1674-6805(2013)31-0011-02 　　The Effect of Feeding Patterns on the Early Outcome of Neonatal Unconjugated Hyperbilirubinemia/CHEN Feng-zhan.//Chinese and Foreign Medical Research，2013，11(31)：11-12 　　【Abstract】　Objective：To investigate the early therapeutic effect of feeding patterns on neonatal unconjugated hyperbilirubinemia.Method：Neonates hospitalized by unconjugated hyperbilirubinemia were retrospectively analyzed. The difference of the reductions of total serum bilirubin(TSB) between the two groups(breastfed/formula-fed group) after combined treatment of mainly phototherapy(twice phototherapy for 12 hours) was researched.Result：There were no significant differences in gestational age，birth weight，gender，age at admission，giving hepatic enzyme inducer and Yinzhihuang ratio，and admission TSB between the two groups of children.The reduction of TSB in breastfed group was statistically more than in formula-fed group after combined treatment of mainly phototherapy(twice phototherapy for 12 hours).Conclusion：The early outcome of breastfeeding may be better than of formula feeding in neonatal unconjugated hyperbilirubinemia with combined therapy of mainly phototherapy. 　　【Key words】　Breastfeeding；　Formula feeding；　Newb