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并发病理性黄疸早产低出生体重儿体成分分析OA

Analysis of Body Composition of Premature Low Birth Weight Infants with Pathological Jaundice

中文摘要英文摘要

目的 探讨并发病理性黄疸早产低出生体重儿身体成分差异.方法 纳入柳州市妇幼保健院2021年8月-2022年2月出生的早产低出生体重儿51例,根据是否并发病理性黄疸分为黄疸组及对照组,分别于婴儿出生后第1~7天采集婴儿身体成分,包括脂肪量、瘦体重、水合状态、总身体水分、营养指数等,采用生物电阻抗分析两组婴儿人体成分的差异.结果 出生第2天并发病理性黄疸婴儿13例,未并发病理性黄疸38例,黄疸组和对照组婴儿相位角、脂肪及人体总水分含量比较,差异有统计学意义(P<0.05);出生第3天并发病理性黄疸婴儿16例,未并发病理性黄疸22例,黄疸组和对照组婴儿相位角及人体总水分含量比较,差异有统计学意义(P<0.05);出生第4天并发病理性黄疸婴儿7例,未并发病理性黄疸婴儿15例,黄疸组和对照组婴儿相位角及人体总水分含量比较,差异有统计学意义(P<0.05);出生第5天并发病理性黄疸婴儿8例,未并发病理性黄疸婴儿为7例,黄疸组和对照组婴儿相位角及人体总水分含量比较,差异有统计学意义(P<0.05);出生后第1~7天,两组婴儿身体瘦肉、营养指数、预测指数及骨骼肌肉群含量比较,差异均无统计学意义(P>0.05).结论 并发病理性黄疸早产低出生体重儿相位角测量值及身体总水分含量低于未并发病理性黄疸婴儿,提示总水分含量越低,相位角检测值越低,婴儿并发病理性黄疸的可能性越大.但由于研究的局限性,相位角及人体总水分含量是否可用于预测早产低出生体重儿并发病理性黄疸的风险尚需进一步研究.

Objective To investigate the difference of body composition in premature low birth weight infants with pathological jaundice.Methods A total of 51 premature low birth weight infants born in Liuzhou Maternity and Child Healthcare Hospital from August 2021 to February 2022 were included.According to whether they were complicated with pathological jaundice,they were divided into jaundice group and control group.The body composition of infants was collected on the 1st to 7th day after birth,including fat mass,lean body mass,hydration status,total body water and nutritional index.The difference of body composition between the two groups was analyzed by bioelectrical impedance.Results There were 13 infants with pathological jaundice on the 2nd day after birth and 38 infants without pathological jaundice;there were significant differences in phase angle,fat and total water content between the jaundice group and the control group(P<0.05).On the 3rd day after birth,there were 16 infants with pathological jaundice and 22 infants without pathological jaundice;there were significant differences in phase angle and total body water content between the jaundice group and the control group(P<0.05).On the 4th day after birth,there were 7 infants with pathological jaundice and 15 infants without pathological jaundice;there were significant differences in phase angle and total body water content between the jaundice group and the control group(P<0.05).On the 5th day after birth,there were 8 infants with pathological jaundice and 7 infants without pathological jaundice;there were significant differences in the phase angle and total body water content between the jaundice group and the control group(P<0.05);there were no significant differences in lean meat,nutritional index,predictive index and musculoskeletal group content between the two groups on the 1st to 7th day after birth(P>0.05).Conclusion The phase angle measurement value and total body water content of premature low birth weight infants with pathological jaundice are lower than those of infants without pathological jaundice,suggesting that the lower the total water content,the lower the phase angle detection value,and the greater the possibility of pathological jaundice in infants.However,due to the limitations of the study,whether phase angle and total body water content can be used to predict the risk of pathological jaundice in preterm low birth weight infants needs further study.

曾婷;曾佩佩;覃荣娟;黄丽萍;韦义军;袁绍丽;邓梁琼

柳州市妇幼保健院儿童保健科,广西柳州 545001柳州市妇幼保健院新生儿科,广西 柳州 545001广州市妇女儿童医疗中心柳州医院儿童保健科,广西柳州 545026

临床医学

早产儿低出生体重儿人体成分分析生物电阻抗黄疸

Preterm infantsLow birth weight infantsAnalysis of human compositionBioelectrical impedanceJaundice

《医学信息》 2024 (011)

89-93 / 5

中国疾病预防控制中心妇幼保健中心母婴营养与健康研究项目(编号:2021FY011)

10.3969/j.issn.1006-1959.2024.11.016

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