经皮胆红素动态监测新生儿胆红素的临床应用价值

After skin bilirubin dynamic monitor newborn bilirubin clinical practice value

目的:动态检测新生儿经皮胆红素,适时干预治疗生理性黄疸,减少病理性黄疸发生。方法:将1800例新生儿随机分成对照组及治疗组,用JH20-IA型经皮黄疸仪测新生儿前额、前胸及大腿内侧部胆红素,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,予干预治疗,对照组则无特殊治疗。结果:治疗组与对照组比较,生后第5～10天,胆红素值差异有统计学意义,即前者明显低于后者。结论:①JH20-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,应适时治疗,以减少病理性黄疸发生;③能及时发现病理性黄疸的出现,予及时的治疗。

Objective：The dynamic examination newborn after the skin bilirubin, at the right moment intervenes the treatment physiology jaundice, reduces the pathological jaundice to occur. Methods： To divide than into the control group and the treatment group stochastically 1 800 example newborns, with JH20-IA after in skin jaundice instrumental measurement newborn forehead, protothorax and thigh lateral bilirubin, and carries on the comparison with the blood serum bilirubin. When the treatment group the physiology jaundice surpasses certain scope at the right moment gives the intervention treatment, the control group not specific treatment. Results： The treatment group and the control group compare, after living, 5-10 d, the bilirubin value difference have the significance, namely the former is lower than the latter obviously. Conclusion：① JH20-IB after the skin jaundice meter is the dynamic monitor newborn bilirubin good method; ②The physiology jaundice is heavy when also affects the newborn energetic condition and feeds the situation, should at the right moment treat, reduces the pathological jaundice to occur; ③The pathological jaundice could be discovered ealy, and treated, gives the prompt treatment.