经皮测胆红素仪在新生儿黄疸筛查中的准确性与实用性评价

Accuracy And Practicability Evaluation of Percutaneous Bilirubin Meter in Neonatal Jaundice Screening

目的探究经皮测胆红素仪在新生儿黄疸筛查中的应用价值。方法选择2021年3月2023年3月期间浙江大学医学院附属儿童医院出生的新生儿黄疸患儿196例,作为观察组;将同期医院出生的150例健康新生儿作为健康组。两组均接受血清学检验,并采用经皮测胆红素仪检测胆红素水平。评价两组患儿不同部位胆红素水平,比较观察组新生儿采用不同检测方式测定胆红素水平的差异。结果与健康组相比,观察组采用经皮测胆红素仪检测额头部位胆红素水平更高,差异有统计学意义(P<0.05)。采用血清胆红素检测、经皮测胆红素仪检测观察组出生后不同时间段胆红素水平,差异无统计学意义(P>0.05)。结论经皮测胆红素仪在新生儿黄疸筛查中的应用价值较高,可有效解读患儿胆红素水平的变化情况,且测定结果与血清胆红素检测结果一致性较高,可为新生儿黄疸的诊断和后续黄疸消退的监测提供依据。

Objective:To explore the application value of percutaneous bilirubin meter in neonatal jaundice screening.Methods:196 cases of neonatal jaundice born in Children's Hospital affiliated to Zhejiang University Medical College from March 2021 to March 2023 were selected as the observation group.150 healthy newborns born in the hospital in the same period were taken as the healthy group.Both groups received serological tests,and the bilirubin level was detected by percutaneous bilirubin meter.The bilirubin levels in different parts of the two groups were evaluated,and the differences of bilirubin levels in newborns in the observation group were compared by different detection methods.Results:Compared with the healthy group,the level of bilirubin in the forehead of the observation group was higher by percutaneous bilirubin meter,with statistical significance(P<0.05).Serum bilirubin and percutaneous bilirubin meter were used to detect the bilirubin level in the observation group at different time after birth,and there was no significant difference(P>0.05).Conclusion:The application value of percutaneous bilirubin meter in neonatal jaundice screening is high,which can effectively interpret the changes of bilirubin level in children,and the results are consistent with those of serum bilirubin detection,which can provide basis for the diagnosis of neonatal jaundice and the subsequent monitoring of jaundice regression.