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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.

DOI:10.1111/j.1651-2227.2008.00913.x
PMID:18616632
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。

相似文献

1
Does circumcision increase neonatal jaundice?包皮环切术会增加新生儿黄疸吗?
Acta Paediatr. 2008 Sep;97(9):1192-3. doi: 10.1111/j.1651-2227.2008.00913.x.
2
Jaundice in the healthy newborn infant: a new approach to an old problem.健康新生儿黄疸:解决老问题的新方法。
Pediatrics. 1988 Apr;81(4):505-11.
3
Neonatal jaundice in Zaria, Nigeria--a second prospective study.尼日利亚扎里亚的新生儿黄疸——第二项前瞻性研究。
West Afr J Med. 1995 Jan-Mar;14(1):15-23.
4
Breastfeeding and jaundice.母乳喂养与黄疸。
J Perinatol. 2001 Dec;21 Suppl 1:S25-9; discussion S35-9. doi: 10.1038/sj.jp.7210629.
5
[Neonatal jaundice: Clinical evaluation of a transcutaneous bilirubinometer].[新生儿黄疸:经皮胆红素测定仪的临床评估]
An Pediatr (Barc). 2009 Aug;71(2):157-60. doi: 10.1016/j.anpedi.2009.02.006. Epub 2009 May 2.
6
Weight loss and hypernatremia in breast-fed babies: frequency in neonates with non-hemolytic jaundice.母乳喂养婴儿的体重减轻和高钠血症:非溶血性黄疸新生儿中的发生率
J Paediatr Child Health. 2005 Sep-Oct;41(9-10):484-7. doi: 10.1111/j.1440-1754.2005.00688.x.
7
Jaundice in the full-term neonate.足月儿黄疸
Pediatrics. 1984 Apr;73(4):520-5.
8
Serum indirect bilirubin levels and meconium passage in early fed normal newborns.早期喂养的正常新生儿的血清间接胆红素水平及胎粪排出情况。
Nurs Res. 1987 May-Jun;36(3):174-8.
9
A new look on neonatal jaundice.新生儿黄疸新视角。
J Indian Med Assoc. 2002 Sep;100(9):556-60, 574.
10
Hyponatraemia, birthweight and neonatal jaundice.低钠血症、出生体重与新生儿黄疸。
Afr J Med Med Sci. 1995 Mar;24(1):55-7.

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