CAJ | 학술논문

目的：分析引起新生儿患重症高胆红素血症的临床危险因素。方法自2012年5月至2013年5月来我院进行治疗的高胆红素血症新生儿患者中随机抽取108例，按患者患病轻重分为A组和B组，其中A组为重度高胆红素血症患者，共50例，B组为轻度高胆红素血症患者，共58例。应用Logistic回归模型对所选患者患病的原因进行分析。结果导致新生儿患高胆红素血症的常见原因主要有感染、早产、母乳、溶血、窒息以及原因不明等，其中以感染最为常见。根据Logistic回归分析，感染、早产以及原因不明在A组与B组的比较中差异具有统计学意义。结论引起新生儿患重症高胆红素血症的常见临床危险因素是感染、早产以及原因不明，把握重症高胆红素血症的危险因素，对该病的预防和治疗具有重要意义。
목적：분석인기신생인환중증고담홍소혈증적림상위험인소。방법자2012년5월지2013년5월래아원진행치료적고담홍소혈증신생인환자중수궤추취108례，안환자환병경중분위A조화B조，기중A조위중도고담홍소혈증환자，공50례，B조위경도고담홍소혈증환자，공58례。응용Logistic회귀모형대소선환자환병적원인진행분석。결과도치신생인환고담홍소혈증적상견원인주요유감염、조산、모유、용혈、질식이급원인불명등，기중이감염최위상견。근거Logistic회귀분석，감염、조산이급원인불명재A조여B조적비교중차이구유통계학의의。결론인기신생인환중증고담홍소혈증적상견림상위험인소시감염、조산이급원인불명，파악중증고담홍소혈증적위험인소，대해병적예방화치료구유중요의의。
Objective:To research the clinical risk factors of neonatal intensive hyperbilirubinemia.Methods:During the time of May 2012 to May 2013,108 neonatal hyperbilirubinemia patients were selected and divided into group A and group B according to the severity of il ness.There are 50 patients in group A who are severe hyperbilirubinemia and the other 58 patients were in group B who are slight hyperbilirubinemia.Analysis the causes of the disease by Logistic model.Results:The common factors cased neonatal intensive hyperbilirubinemia are infection, premature birth, breastfeeding, hemolysis, suffocation and others,and the most common factor is infection.The factors of infection, premature birth as wel as other unexplained factors were statistical y significance in the comparison of group A and group B based on the Logistic analysis.Conclusion:The main clinical risk factors of neonatal intensive hyperbilirubinemia are infection, premature birth as wel as other unexplained factors,it is important to grasp the risk factors of severe hyperbilirubinemia for the prevention and treatment of the disease.