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包皮环切术会增加新生儿黄疸吗?

Does circumcision increase neonatal jaundice?

作者信息

Eroğlu E, Balci S, Ozkan Hc, Yörükalp O, Göksel Ak, Sarman G, Dayanikli P

机构信息

Section of Pediatric Surgery, VKF American Hospital, Istanbul, Turkey.

出版信息

Acta Paediatr. 2008 Sep;97(9):1192-3. doi: 10.1111/j.1651-2227.2008.00913.x.

Abstract

PURPOSE

The aim of this study was to evaluate the effects of circumcision done during the early newborn period on the baby's feeding frequency and therefore a possible effect on serum bilirubin values.

METHODS

Sixty consecutive male patients, of whom 30 were circumcised, were comparatively followed. Babies born between 35 and 40 gestational weeks, weighing above 3000 g and who had no antenatal and/or perinatal problems were enrolled. Changes in weight, frequency of feeds, urination, stooling and the serum bilirubin levels were compared.

RESULTS

There was no statistically significant difference between the two groups.

CONCLUSION

In experienced hands, newborn circumcision on the second day of life is safe, does not affect babies' feeding frequency or bowel movements on day 3, and does not increase serum bilirubin on day 4, thus does not increase the risk of neonatal jaundice.

摘要

目的

本研究旨在评估新生儿早期行包皮环切术对婴儿喂养频率的影响,以及对血清胆红素值可能产生的影响。

方法

对连续60例男性患者进行对比随访,其中30例行包皮环切术。纳入孕周在35至40周之间、体重超过3000克且无产前和/或围产期问题的婴儿。比较两组婴儿体重、喂养频率、排尿、排便及血清胆红素水平的变化。

结果

两组之间无统计学显著差异。

结论

在经验丰富的医生操作下,出生第二天进行新生儿包皮环切术是安全的,不会影响第3天婴儿的喂养频率或排便,也不会使第4天的血清胆红素升高,因此不会增加新生儿黄疸的风险。

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