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测定510例正常新生儿生后1～10天血清胆红素(SB),并对SB与围产因素作相关性分析。结果显示:SB峰值平均为184±70μmol/L,新生儿生理性黄疸高峰出现在生后第4～5天,其中峰值≥205μmol/L和≥256μmol/L者分别为51.6％和21.9％,显著高于国外新生儿标准;母乳喂养、催产素促产和男性与SB值呈显著正相关,与母妊高征、分娩方式等无显著相关。本文提供了正常新生儿SB动态变化值,为制定临床早期干预指征提供参考。
Serum bilirubin (SB) was measured in 510 normal newborns from 1 to 10 days after birth, and the correlation between SB and perinatal factors was analyzed. The results showed that the mean SB peak value was 184 ± 70 μmol / L and the peak of neonatal jaundice appeared on the 4th to 5th days after birth. The peak value of ≥25μmol / L and ≥256μmol / L were 51.6% and 21.9% respectively Higher than the foreign newborn standard; breastfeeding, oxytocin and promote the production of men and the SB value was significantly positively correlated with the PIH, mode of delivery and so no significant correlation. This article provides the normal neonatal SB dynamic changes in value, for the development of clinical indications for early intervention provide a reference.