新生儿黄疸的临床诊断体会

Clinical Diagnosis of Neonatal Jaundice

目的探讨新生儿黄疸诊断过程中血清白蛋白和非结合胆红素的应用效果。方法选取我院收治的黄疸患儿78例,全部患儿均接受血清白蛋白、非结合胆红素、血清总胆红素水平测定。结果(1)不同疾病程度黄疸患儿各项指标水平比较:中度黄疸患儿的血清白蛋白水平高于重度黄疸患儿,差异具有统计学意义(P<0.05);重度黄疸患儿的非结合胆红素水平和血清总胆红素水平高于中度黄疸患儿,差异具有统计学意义(P<0.05);(2)不同病因黄疸患儿各项指标水平比较:不同类型黄疸患儿的血清白蛋白、非结合胆红素、血清总胆红素水平差异均具有统计学意义(P<0.05)。结论新生儿黄疸临床诊断中血清白蛋白和非结合胆红素具备一定应用价值,同时可将其作为对黄疸致病原因判断的参考指标。

Objective To investigate the application effect of serum albumin and unconjugated bilirubin in the diagnosis of neonatal jaundice.Methods Seventy-eight children with jaundice admitted to our hospital were enrolled.All patients received serum albumin,unconjugated bilirubin and serum total bilirubin.Results(1)Comparison of various indicators of children with different degrees of jaundice:The serum albumin level of children with moderate jaundice was higher than that of children with severe jaundice(P<0.05);the children with severe jaundice The levels of unconjugated bilirubin and serum total bilirubin were higher than those with moderate jaundice(P<0.05);(2)Comparison of various indicators of children with different causes of jaundice:different types of jaundice The serum albumin,unconjugated bilirubin and serum total bilirubin levels were statistically significant(P<0.05).Conclusion Serum albumin and unconjugated bilirubin have certain applications in the clinical diagnosis of neonatal jaundice.Value,at the same time,can be used as a reference indicator for judging the cause of jaundice.