1200例新生儿胆红素动态监测的临床探讨  

Dynamic Clinical Research of 1?200 Newborns' Bilirubin

作　　者：田玉芹[1] 李韵华[1] 李惠萍[1] 梁沂[1] 

机构地区：[1]昆明医学院第一附属医院产科,昆明650032

出　　处：《昆明医学院学报》2001年第4期36-38,共3页Journal of Kunming Medical College

摘　　要：动态监测新生儿经皮胆红素 ,适时治疗生理性黄疸 ,减少病理性黄疸 .方法 :将 12 0 0例新生儿随机分成对照组及治疗组 .用JH2 0 -IB型经皮黄疸仪测新生儿前额部胆红素 ,并与血清胆红素进行比较 .治疗组当生理性黄疸超过一定范围时适时给予治疗 ,对照组则无特殊治疗 .结果 :( 1)经皮胆红素值与血清胆红素值比较 ,前者略低于后者 ,但差异无显著性 ;( 2 )治疗组与对照组比较 ,生后第 5～ 10d ,胆红素值差异有显著性 ,即前者明显低于后者 .结论 :( 1)JH2 0 -IB型经皮黄疸仪是动态监测新生儿胆红素的较好方法 ;( 2 )生理性黄疸较重时也影响新生儿精神状况及喂养情况 。To test newborns skin dynamic bilirubin, and to find ways of treating the physiological icterus on time so as to reduce the chance of pathological icterus. Method:1?200 newborns were randomly divided into two groups. The newborns in the observed group were treated and those in the control group without treatment. Newborns bilirubin was tested on their forehead by JH 20-IB skin icterus tester. The level of skin bilirubin was compared with that of serum bilirubin. The observed group was given treatment on time when the bilirubin level was higher than normal while the control group remained without any treatment. Result:(1) Comparing the level of skin bilirubin with the level of serum bilirubin, no significant difference existed between them. The level of skin bilirubin was a litter lower than that of serum bilirubin. (2) The level of the bilirubin had significant difference between the two group for the babies who were born for 5 to 10 days, the bilirubin of the observed group was significantly lower than that of the control group .Conclusion:(1) JH 20-IB skin icterus tester is a good dynamic method to test the newborns bilirubin. (2) When the physiological icterus exceeds certain level, the state of vigour and feeding in newborns were affected,too. They should be treated on time.

关 键 词：生理性黄疸 病理性黄疸 经皮黄疸仪 经皮胆红素 血清胆红素 新生儿 

分 类 号：R722.170.4[医药卫生—儿科]