CAJ | 학술논문

目的：总结晚期早产儿高胆红素血症的临床特征并分析其危险因素，为疾病诊断与治疗提供依据。方法：选取收治的184例高胆红素血症晚期早产儿为研究对象（研究组），并随机选取同期收治的184例非高胆红素血症晚期早产儿作为对照（对照组），分别对两组患儿的临床资料进行分析，筛选出晚期早产儿高胆红素血症的危险因素。结果：对两组患儿中对单因素分析有统计学意义的指标进行Logistic回归分析，结果显示，妊高症、胎膜早破、母子血型不合、体重偏低、新生儿有窒息史与感染史、头颅血肿等7个变量检验有统计学意义（P＜0．05），是晚期早产儿高胆红素血症的危险因素，具有早期预警功能。结论：早期对晚期早产儿高胆红素血症各危险因素进行有效监测与随访，可及时对患儿进行合理的干预，从而有效降低新生儿高胆红素血症的发生率与死亡率。
목적：총결만기조산인고담홍소혈증적림상특정병분석기위험인소，위질병진단여치료제공의거。방법：선취수치적184례고담홍소혈증만기조산인위연구대상（연구조），병수궤선취동기수치적184례비고담홍소혈증만기조산인작위대조（대조조），분별대량조환인적림상자료진행분석，사선출만기조산인고담홍소혈증적위험인소。결과：대량조환인중대단인소분석유통계학의의적지표진행Logistic회귀분석，결과현시，임고증、태막조파、모자혈형불합、체중편저、신생인유질식사여감염사、두로혈종등7개변량검험유통계학의의（P＜0．05），시만기조산인고담홍소혈증적위험인소，구유조기예경공능。결론：조기대만기조산인고담홍소혈증각위험인소진행유효감측여수방，가급시대환인진행합리적간예，종이유효강저신생인고담홍소혈증적발생솔여사망솔。
Objective: To summarize the risk factors of late preterm infants with hyperbilirubinemia . Method:The clinical data of 184 children diagnosed with hyperbilirubinemia were collected as the research group.At the same time, 184 cases of late preterm infants with normal hyperbilirubinemia were collected as control group .The clinical data was analyzed between the two groups in order to select the risk factor of late preterm infants with hyperbilirubinemia .Result:According to the single factor analysis ,logistic regression a-nalysis of index was analyzed .The result revealed seven index had statistically significant that included gesta-tional hypertension , premature rupture of membranes , different blood type between mother and child , low weight, asphyxia,infection history and head haematoma (P <0.05).The risk factor for late preterm high bili-rubin concentration has early warning function .Conclusion:It's important to focus the risk factors for effec-tive monitoring and follow-up,which could provide timely reasonable intervention for neonates and reduce the incidence of high blood bilirubin and neonatal mortality .