新生儿双管同步换血技术在新生儿换血中的疗效观察  

Observation on the curative effect of blood exchange transfusion via double vessels in neonates

作　　者：宗小敏[1] 

机构地区：[1]四川省宜宾市第一人民医院新生儿科,644000

出　　处：《中国妇幼保健》2015年第32期5580-5582,共3页Maternal and Child Health Care of China

基　　金：四川省卫生厅科研课题〔120113〕

摘　　要：目的探讨双管同步换血技术在新生儿换血中的临床疗效。方法选取2014年10月-2015年5月该院收治的新生儿溶血症患儿50例为研究对象,采用外周动静脉双管同步换血法进行治疗,比较治疗前后患儿各项指标的变化情况。结果换血后,患儿血清胆红素水平明显降低,差异有统计学意义(P<0.05)。换血前后,患儿血红蛋白、血压、血p H值、血钠水平比较,差异无统计学意义(P>0.05);血钾、血钙、血糖水平比较,差异有统计学意义(P<0.05)。结论新生儿双管同步换血治疗效果显著,对机体内环境有一定的影响,可出现高血糖症、电解质紊乱等不良反应。患儿需要做好术后监护,预防并发症的发生,以提高临床疗效。Objective To explore the clinical efficacy of blood exchange transfusion via double vessels in neonates. Methods Fifty neonates with hemolytic disease treated by blood exchange transfusion via peripheral artery and vein in the hospital from October 2014 to May 2015 were selected as study objects, the changes of indexes before and after treatment were compared. Results After blood exchange transfusion, serum bilirubin level of the neonates decreased significantly, there was statistically significant difference （ P〈0.05 ） . There was no statistically signifieant difference in hemoglobin, blood pressure, blood pH value, blood sodium levels between before and after blood exchange transihsion （P〉0. 05） ; there was statistically significant difference in blood potassium, calcium, and glucose levels between before amt after blood exchange transfusion （ P〈0. 05） . Conclusion The efficacy of blood exchange transfusion via double vessels in neonates is significant, which has a certain impact on the internal environment, adverse reactions may occur, such as hyperglycemia and electrolyte dis- turbanee. Postoperative monitoring is needed to avoid complications and improve the efficacy.

关 键 词：双管同步换血 新生儿 临床疗效 溶血症 

分 类 号：R722.1[医药卫生—儿科]