高危因素联合经皮测胆红素对新生儿黄疸的评估价值  

Appraisal value of high risk factors combined with transcutaneous bilirub for neonatal jaundice

作　　者：叶安青[1] 洪涛[1] 黄春芬[1] 黄小红[1] 吴志军[1] 

机构地区：[1]深圳市宝安区妇幼保健院儿科,广东深圳518000

出　　处：《成都医学院学报》2012年第1期99-100,107,共3页Journal of Chengdu Medical College

基　　金：深圳市宝安区科技计划项目(No:20110639)

摘　　要：目的探讨高危因素联合经皮测胆红素在评估新生儿黄疸中的价值。方法选取在我院分娩的新生儿906例,随机分为A、B、C 3组,每组各302例。A组用高危因素评估新生儿黄疸情况,B组用经皮测胆红素值评估,C组用高危因素联合经皮测胆红素评估。根据诊断结果给予相应治疗,比较各组诊断正确率和黄疸消退延迟的情况。结果 C组诊断正确率最高,为89.92%;与其余两组相比,差异有统计学意义(P<0.05)。C组黄疸消退延迟发生率最低,需要临床干预例数最少;与其余两组相比,差异有统计学意义(P<0.05)。结论高危因素联合经皮测胆红素能够较好地评估新生儿黄疸的情况,及早诊断病理性黄疸和给予早期干预治疗,明显降低黄疸消退延迟发生率,利于患儿健康成长。Objective To evaluate the appraisal value of high risk factors combined with transcutaneous bilirub for neonatal jaundice.Methods Nine hundres and six neonates were divided into groups A,B and C,302 neonates in each group.Group A used high risk factors to diagnosis pathological jaundice of neonates,while Group B used transcutaneous bilirubin and Group C used combined detection of both.Then neonates would receive corresponding therapy according to the diagnosis.Compared the correct rate of diagnosis and the result of jaundice regression.Results The correct rate of diagnosis in Group A was the highest,which was 89.92%,and a significant difference was observed（P〈0.05）;the rate of jaundice regression and the cases needed clinical intervention in Group C were the least,and a significant difference was observed（P〈0.05）.Conclusion Combined detection of high risk factors and transcutaneous bilirubin have a great value in diagnosis of pathological jaundice of neonates.It helps diagnosis pathologic jaundice as early as possible and make early clinical intervention to low incidence rate of jaundice regression,which is good for neonates＇ health.

关 键 词：高危因素 经皮测胆红素 黄疸 新生儿 

分 类 号：R722.1[医药卫生—儿科]