不同蓝光照射方法在新生儿黄疸中的应用分析

Analysis of different blue light irradiation methods on neonatal jaundice

目的观察分析在新生儿黄疸中应用不同蓝光照射方法的治疗效果。方法80例新生儿黄疸患儿,按照患儿就诊顺序分为对照组和观察组,各40例。两组患儿均给予常规治疗,观察组应用间歇性蓝光照射治疗,对照组应用连续性蓝光照射治疗。比较两组患儿不良反应发生情况及治疗前后血清总胆红素、粪胆红素水平。结果观察组患儿的不良反应发生率5.00%显著低于对照组的20.00%,差异具有统计学意义(P<0.05)。治疗后,观察组患儿粪胆红素(158.23±9.54)mg/100 g高于对照组的(154.05±8.41)mg/100 g,血清总胆红素(83.21±7.87)μmol/L低于对照组的(89.53±7.42)μmol/L,差异具有统计学意义(P<0.05)。结论在新生儿黄疸中应用间歇性蓝光照射方法,能够降低患儿不良反应发生率,改善患儿不良症状,确保治疗安全性,降低患儿血清胆红素,提升治疗总有效率,有临床实践价值。

Objective To observe and analyze the therapeutic effect of different blue light irradiation methods on neonatal jaundice.Methods A total of 80 cases of neonatal jaundice were divided into control group and observation group by visiting order,with 40 cases in each group.Both groups received conventional therapy,and the observation group was treated by intermittent blue light irradiation,and the control group was treated by continuous blue light irradiation.The occurrence of adverse reactions and serum total bilirubin and fecal bilirubin levels before and after treatment were compared between the two groups.Results The incidence of adverse reactions 5.00%of the observation group was significantly lower than that of the control group 20.00%,and the difference was statistically significant(P<0.05).After treatment,fecal bilirubin(158.23±9.54)mg/100 g of the observation group was higher than that of the control group(154.05±8.41)mg/100 g,and serum total bilirubin(83.21±7.87)μmol/L was lower than that of the control group(89.53±7.42)μmol/L,and the difference was statistically significant(P<0.05).Conclusion Application of intermittent blue light irradiation in neonatal jaundice can reduce the incidence of adverse reactions,improve the adverse symptoms of children,ensure the safety of treatment,reduce serum bilirubin of children,and improve the total effective rate of treatment.It contains clinical value.