光照疗法治疗早期新生儿重度高胆红素血症的效果分析

Treatment of severe hyperbilirubinemia in the newborns with phototherapy at early stage

目的探讨光照疗法(简称光疗)治疗早期新生儿重度高胆红素血症的效果。方法采用蓝光照射等非换血疗法治疗35例血总胆>342μmol/L的重度高胆红素血症新生儿。结果33例痊愈,占94.3%;2例好转,占5.7%;有效率达100%,均未出现胆红素脑病。结论光疗治疗早期新生儿重度高胆红素血症疗效显著,可作为首选方法。

Objective To discuss the therapeutic effect of phototherapy on severe hyperbilirnbinemia in the newborns. Meth- ods Thirty - five severe hyperbilirnbinemia newborns with total serum bilirnbin of 〉 342μmol/L were treated with blue ray without using blood transfusion and the results were analyzed. Results Thirty - three out of the 35 newborns were cured, accounted for 94.3% and the condition of 2 newborns was improved,with a total effective rate of 100% . No kernicterns was observed in the 35 newborns. Conclusion Phototherapy is effective for treatment of severe hyperbilirubinemia newborns at early stage and thus it is the treatment of choice.