新生儿黄疸的预测和干预治疗措施研究

Study on prognosis and intervention treatment measures of neonatal jaundice

目的:探讨研究新生儿黄疸的临床预测及干预治疗措施。方法:对2008年12月～2009年6月收治的122例新生儿黄疸患者的预测方法与干预措施进行监测及临床综合对比分析。结果:122例黄疸患儿经目测观察法分为轻度、中度、重度3组,分别与血清胆红素组进行比较并进行方差分析,两组间的比较差异均有高度显著性(P<0.01)。122例患儿蓝光治疗后,119例痊愈出院,3例因胆红素持续保持高位实施换血疗法,均经1次换血成功,出院后经连续两个月每周复查红细胞和血红蛋白均正常。结论:新生儿黄疸如未经适当及时有效地处理则可能造成严重后遗症,临床蓝光治疗是较为合适的治疗方法。另外,还可以考虑抚触及水疗等非药物性物理疗法。

Objective：To explore the clinical prognosis and intervention treatment measures of neonatal jaundice. Methods：The prognosis methods and intervention measures of 122 neonates with jaundice in the hospital from December 2008 to June 2009 were monitored,compared and analyzed comprehensively. Results：122 neonates with jaundice were divided into mild jaundice group,moderate jaundice group and severe jaundice group by visual observation method,then the results in the three groups were compared to those in serum bilirubin group respectively,variance analysis was carried out,there was significant difference（P〈0.01）.After treated with blue light,119 neonates were cured then they left the hospital;because of persistent high level of bilirubin,3 neonates received blood exchange transfusion,the therapy succeeded once;at 2 months after leaving the hospital,the levels of blood red cells and hemoglobin were normal during reexamination carried out every week. Conclusion：Severe complications may occurred in the neonates with jaundice without timely and effective treatment,and blue light is an appropriate method.In addition,non-drug physical therapy such as touch and hydrotherapy can be considered