Suganthi V, Das A Gokul
Head of Department, Department of Pediatrics, Coimbatore Medical College Hospital , Coimbatore, Tamil Nadu, India .
Paediatrician, Taluk Hospital , Pattambi, Kerala, India .
J Clin Diagn Res. 2016 Nov;10(11):SC12-SC15. doi: 10.7860/JCDR/2016/20115.8878. Epub 2016 Nov 1.
Probiotics are known to reduce the severity of hyperbilirubinemia.
This study was done to evaluate the effect of probiotic on neonatal hyperbilirubinemia in term neonates.
A total of 181 healthy term neonates after birth were divided into a control group (n=95) and a treatment group (n=86) randomly and treated with placebo and probiotic () respectively. A total of two doses were given orally in the first two consecutive days. The serum bilirubin levels were detected on day three of life. Babies were exclusively breastfed, clinical outcome was recorded. Comparison between groups was made by the non-parametric Mann-Whitney test. Analysis of Variance (ANOVA) was used to assess the quantitative variables. A p-value of <0.05 using a two-tailed test was taken as being of significance for all statistical tests.
On day 3, mean total serum bilirubin in control group among patient who has not developed clinical jaundice is 6.5mg% and in the treatment group is 5mg%. In patient with clinical jaundice, it is 13.6mg% in control group and 10.7mg% in the treatment group. The p-value was found to be <0.05 which is statistically significant. No obvious adverse reactions noted in either group.
Probiotics lowered the serum bilirubin level of healthy neonate with jaundice safely and significantly without any adverse reaction.
已知益生菌可降低高胆红素血症的严重程度。
本研究旨在评估益生菌对足月儿新生儿高胆红素血症的影响。
共181例健康足月儿出生后随机分为对照组(n = 95)和治疗组(n = 86),分别给予安慰剂和益生菌治疗。在连续的前两天共口服两剂。在出生后第三天检测血清胆红素水平。婴儿纯母乳喂养,记录临床结局。组间比较采用非参数曼-惠特尼检验。方差分析(ANOVA)用于评估定量变量。所有统计检验采用双侧检验,p值<0.05被认为具有统计学意义。
在第3天,未出现临床黄疸的对照组患者平均总血清胆红素为6.5mg%,治疗组为5mg%。出现临床黄疸的患者中,对照组为13.6mg%,治疗组为10.7mg%。发现p值<0.05,具有统计学意义。两组均未观察到明显不良反应。
益生菌可安全、显著地降低健康黄疸新生儿的血清胆红素水平,且无任何不良反应。