新生儿病理性黄疸的支持加蓝光治疗效果研究  

Study on the therapeutic effect of support and blue light on neonatal pathological jaundice

作　　者：付德龙[1] 杜云龙 钟睛 FU De-long;DU Yun-long;ZHONG Jing(Department 2 of Newborns,Tengzhou Central People's Hospital,Tengzhou Shandong Province 277599,China)

机构地区：[1]滕州市中心人民医院新生儿二科,山东滕州277599

出　　处：《中国城乡企业卫生》2024年第11期9-11,共3页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的 探讨支持加蓝光治疗对新生儿病理性黄疸的疗效,为新生儿病理性黄疸提供更有效的治疗措施。方法 选取2021年1月—2022年12月滕州市中心人民医院收治的60例病理性黄疸新生儿,随机分为对照组和观察组各30例。对照组接受常规治疗,观察组在常规治疗的基础上接受支持加蓝光治疗。比较两组心肌酶指标、胆红素指标及治疗效果。结果 治疗后,观察组LDH、CK-MB及α-HBDH水平均明显低于对照组,差异均有统计学意义(P<0.05)。治疗后,观察组IBIL、TCB及TBIL水平明显低于对照组,差异均有统计学意义(P<0.05)。观察组治疗总有效率为93.33%,高于对照组的73.33%,差异有统计学意义(χ^(2)=4.320,P<0.05)。结论 支持加蓝光治疗在新生儿病理性黄疸的治疗中具有良好的效果,能够有效改善心肌功能,降低胆红素水平,提高治疗有效率,值得在临床中推广应用。Objective To explore the therapeutic effect of support and blue light therapy on neonatal pathological jaundice,and to provide more effective treatment measures for neonatal pathological jaundice.Methods Sixty newborns with pathological jaundice admitted to Tengzhou Central People's Hospital from January 2021 to December 2022 were selected and randomly divided into control group and observation group,with 30 cases in each group.The control group received conventional treatment,while the observation group received support and blue light therapy on the basis of conventional treatment.The myocardial enzyme indicators,bilirubin indicators and treatment efficacy between two groups were compared.Results After treatment,the levels of LDH,CK-MB andα-HBDH in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the levels of IBIL,TCB and TBIL in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).The total effective rate of treatment in the observation group was 93.33%,which was higher than that in the control group with 73.33%,and the difference was statistically significant(χ^(2)=4.320,P<0.05).Conclusion Support and blue light therapy had shown good effects in the treatment of neonatal pathological jaundice,which could effectively improve myocardial function,reduce bilirubin levels,and enhance treatment efficacy.It was worth promoting and applying in clinical practice.

关 键 词：新生儿 病理性黄疸 支持加蓝光治疗 心肌酶 胆红素 

分 类 号：R722.17[医药卫生—儿科]