换血治疗新生儿高胆红素血症的预后分析

The prognostic analysis of exchange transfusion in the neonates with hyperbilirubinemia

目的评价换血疗法对新生儿高胆红素血症的预后，以积累临床经验，指导临床工作。方法跟踪观察43例应用外周动静脉同步换血治疗的高胆红素血症的新生儿作为观察组，观察治疗后10～12个月时听力、发育及神经运动功能的状况。选取同期未应用换血治疗的高胆红素血症新生儿43例作为对照组。结果观察组患儿在听力、发育及神经运动功能方面明显优于对照组。结论换血治疗新生儿高胆红素血症，在改善患儿听力、发育及神经运动功能方面有重要价值，可以临床中推荐应用。

Objective To study the prognosis of neonates with hyperbilirubinemia treated by exchange trans- fusion , for accumulating clinical experience and directing the clinical work. Methods Forty - three exchanged transfusion neonates with hyperbilirubinemia were observed as observation group. Another 43 patients which were treated by routine methods as control group . Their hearing, development and psychomotor function were observed. Results Tile improvement of hearing, development, psychomotor function in the observation group were better than in the control group. Conclusion Treatment of exchange transfusion can improve the neonate prognosis. The treat- ment of exchange transfusion is worthy of being recommended in neonates with hyperbilirubinemia.