出生48小时内经皮胆红素测定预测新生儿黄疸  

Prediction of the Development of Neonatal Jauudice by Measured Transcutaneous Bilirubin During the First 48 Hours of Life.

作　　者：曹树军[1] 王丹瑞[1] 陈宝芳[1] 胡艳萍[1] 

机构地区：[1]郧阳医学院附院妇产科

出　　处：《郧阳医学院学报》1995年第2期79-82,共4页Journal of Yunyang Medical College

摘　　要：为了评价新生儿出生后４８ｈ内经皮胆红素（ＴＣＢ）水平对新生儿病理性黄疸的预测价值，本文测定了３５９例正常足月混合喂养新生儿出生后０～４８ｈ，３～４ｄ和５～６ｄ的ＴＣＢ读数，结果：（１）随出生时（出生６ｈ内）ＴＣＢ读数的增加，病理性黄疸发生率逐渐升高，当ＴＣＢ读数≤６和≥９时，病理性黄疸发生率分别是１１．３２％和６５．２２％。（２）出生时ＴＣＢ读数均值为７．１１±１．２４．而后每小时以０．２的速度递增，２４ｈ后递增速度减慢，但病理性黄疸发生率无明显改变。（３）出生后０～６，７～１２，１３～１８，１９～２４和２５～４８ｈＴＣＢ读数对新生儿病理性黄疸均有预测作用，分别取ＴＣＢ读数为９，１０，１１，１２和１５时预测价值好，提示：出生后４８ｈ内任意时间测定ＴＣＢ读数对新生儿病理性黄疸均有预测作用，且以接近２４ｈ时预测价值最佳。Transcutaneous bilirubin(TCB) measurement was performed on 359 cases normal full-term mixed-fed newborn infants during the first 0～48 hours,3～4days and 5～6 days of life. The results are(1) the rate of pathologic jaundice of newborn increases continuously with the increases of TCB readings(during the first 6 hours of life). When TCB readings was less than or equal to 6 and more than or equal 9, the rate of pathologic jaundice were 11.32% and 65.22% respectively. (2)The mean of TCB readings was 7. 11±1.24 at birth, followed by an increase of 0.2 per hour. and the increase became slower after the first 24 hours of life, but the rate of pathologic jaundice was not evidently changed. (3) Any TCB readings during the first 0～6,7～12, 13～18, 19～24 and 25～48 hours of life may predict the pathologic jaundice of newborn infants, and the prediction was more accurate when TCB reading was 9,10,11,12 or 15. Our study revealed that any TCB reading during the first 48 hours of life can predict the pathologic jaundice, and that the prediction was accuratest at about 24 hours of life.

关 键 词：出生后 内经 经皮 胆红素 预测价值 发生率 TCB 读数 速度 水平 

分 类 号：R722.17[医药卫生—儿科] G633[医药卫生—临床医学]