经皮动态检测新生儿黄疸的临床研究  

CLINICAL STUDY ON THE DYNAMIC TRANSCUTANEOUS DETECTION OF NEONATAL JAUNDICE

作　　者：孙学梅 王玉巧[2] 薄辉[2] 王召安[2] 廖希玲[2] 

机构地区：[1]临沂医专临沂276002 [2]临沂市人民医院

出　　处：《临沂医学专科学校学报》2000年第4期259-261,共3页Journal of Linyi Medical College

基　　金：山东省科学技术发展计划科研基金!资助 (NO 970 341)

摘　　要：目的　 观察不同原因引起的黄疸胆红素上升的时间和峰值 ,提出早期干预高胆红素血症的指征。方法　 采用经皮测疸仪动态观察。结果　 健康足月儿峰值最高时间为生后第 5天 ,经皮胆红素 (TCB)值为 ( 17.0± 2 .2 )单位 ;早产低体重儿峰值最高时间为生后第 4天TCB值 ( 18.8± 2 .2 )单位 ;缺氧窒息儿生后第 4天峰值最高 ,TCB读数为 ( 17.0± 2 .2 )单位 ;母乳性黄疸峰值时间不一 ,TCB读数为 ( 16.76± 2 .2 )单位。结论　 新生儿黄疸发生率高 ( 4 8.51% ) ;早产低体重儿黄疸出现早 ,峰值高 ,消失慢 ;缺氧窒息儿黄疸出现早 ,峰值低 ;母乳性黄疸早发型峰值高于生理性黄疸。Objective To observe the jaundice caused by different factors,the rising time of bilirubin and the peak value of bilirubin so as to intervene in hyperbilirubinemia early.Methods Dynamic observations were made through transcutaneous bilirubin surveyor.Results The peak value of healthy mature newborns occurred on the 5th day ofter births.The transcutaneous bilirubin(TCB) value was 17.0±2.2 The peak values of premature low birth weight newborns and anoxicasphyctic newborns appeared both on the 4th day after births.And the TCB values of them were 18.8±2.2 and 17.0±2.2 respectively.The peark value of newborns with jaundice induced by breast milk occurred in different time and the TCB value was 16.76±2.2.Conclusion Jaundice occurs at a higher rate in nowbors.Premature low birth weight newborns suffer from jaundice early and show high peak value and slow disappearing rate.Jaundice occurs in anoxic-asphyctic newborns early but with low peak value.The peak value of precocious jaundice induced by breast milk is higher than that of physiological jaundice.

关 键 词：经皮检测 新生儿黄疸 诊断 

分 类 号：R722.17[医药卫生—儿科]