新生儿高胆红素血症的同步换血治疗研究

The Research of Synchronous Exchange Transfusion in the Treatment of Neonatal Hyperbilirubinemia

目的:探讨动静脉同步换血术在治疗新生儿高胆红素血症中的治疗效果和应用价值。方法:应用换血方法对69例新生儿高胆红素血症患儿进行治疗,并比较换血前后胆红素的变化情况。结果:新生儿血清总胆红素在换血前显著高于换血后水平,两者比较差异具有统计学意义(p<0.05),总胆红素换出率48.5%。结论:同步换血术治疗新生儿高胆红素血症,可获得满意的临床效果。

Objective： To discuss the clinical effect of synchronization of arteriovenous exchange trans-fusion technique in the treatment of neonatal hyperbilirubinemia. Method： 69 neonates underwent synchro- nous exchange transfusion and then compared the changes of bilirubin after therapy. Result： Neonatal serum total bilirubin was significantly higher than that before the exchange transfusion, There＇s statistically significant difference between them （P〈0.05 ）, the rate of total bilirubin was 48.5%. Conclusion： The treatment of neonatal hyperbilirubinemia by synchronous exchange transfusion in surgery can get the satisfactory clinical results.