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围产期发育过程中的未结合胆红素和结合胆红素色素。IV. 母乳喂养对新生儿高胆红素血症的影响。

Unconjugated and conjugated bilirubin pigments during perinatal development. IV. The influence of breast-feeding on neonatal hyperbilirubinemia.

作者信息

Rubaltelli F F

机构信息

Department of Pediatrics, University of Padova, Italy.

出版信息

Biol Neonate. 1993;64(2-3):104-9. doi: 10.1159/000243979.

DOI:10.1159/000243979
PMID:8260541
Abstract

One thousand four hundred and fifty-four consecutive full-term neonates, delivered over a period extending from February 1, 1991 to January 31, 1992 were prospectively studied during the first days of life to determine if breast-feeding and hyperbilirubinemia were related. Six hundred and five infants were exclusively breast-fed on demand, 623 received both breast- and formula-feeding, and 226 were exclusively formula-fed. Of the 1,454 newborns studied, 70 (4.8%) presented with a bilirubin serum concentration > 12.9 mg/dl (4.62% in the breast-fed group, 5.45% in the group fed with mother's milk with supplements, and 3.54% in the artificial formula group; the differences were not significant). Percent mean weight losses on the 3rd and 5th days were not significantly different. Babies breast-fed on demand seem to have a low incidence of hyperbilirubinemia similar to that found in formula-fed neonates.

摘要

对1991年2月1日至1992年1月31日期间连续分娩的1454名足月新生儿在出生后的头几天进行前瞻性研究,以确定母乳喂养与高胆红素血症是否有关。605名婴儿按需纯母乳喂养,623名婴儿同时接受母乳喂养和配方奶喂养,226名婴儿纯配方奶喂养。在研究的1454名新生儿中,70名(4.8%)血清胆红素浓度>12.9mg/dl(母乳喂养组为4.62%,母乳加补充剂喂养组为5.45%,人工配方奶喂养组为3.54%;差异不显著)。第3天和第5天的平均体重减轻百分比无显著差异。按需母乳喂养的婴儿高胆红素血症发生率似乎较低,与配方奶喂养的新生儿相似。

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