短时多次蓝光疗法在新生儿黄疸治疗中的效果观察及不良反应发生率影响分析

Effect Observation of Short-term Multiple Blue Light Therapy in Treatment of Neonatal Jaundice Analysis of Adverse Reactions Oncidence

目的分析新生儿黄疸治疗中采用短时多次蓝光疗法的效果和不良反应发生率。方法选择我院2017年11月至2018年11月收治的78例黄疸患儿,奇偶法将患儿均分为对照组(采用长时少次蓝光疗法)和观察组(采用短时多次蓝光疗法),每组39例,对比对照组和观察组患儿的治疗效果和不良反应发生率。结果治疗前、治疗后第48小时,对照组和观察组患儿的平均胆红素浓度对比,P>0.05。治疗后第96小时,对照组和观察组患儿的平均胆红素浓度对比,P<0.05。对照组皮疹、腹泻、奶量减少、脱水、体温异常等并发症发生率(33.33%)高于观察组(7.69%),P<0.05。对照组治疗有效率(76.92%)低于观察组(92.31%),P>0.05。结论新生儿黄疸治疗中采用短时多次蓝光疗法的效果显著,可以降低患儿的不良反应发生率,有利于患儿预后。

Objective To analyze effect and adverse reactions incidence of short-term multiple blue light therapy in treatment of neonatal jaundice.Methods Choose 78 cases jaundice children in our hospital from November 2017 to November 2018.Divide them into two groups with parity method:control group(treated with long-term and less bluelight therapy)and observation group(with short-term multiple blue-light therapy),39 cases in each group.Compare curative effect and adverse reactions incidence between control group and observation group.Results Comparison of average bilirubin concentration in control and observation group before and 48 hours after treatment showed P>0.05.96 hours after treatment,average bilirubin concentration in control group and observation group showed P<0.05.Complications incidence of skin rash,diarrhea,milk loss,dehydration and abnormal body temperature in control group(33.33%)was higher than observation group(7.69%),P<0.05.Treatment effective rate of control group(76.92%)was lower than observation group(92.31%),P>0.05.Conclusion Short-term multiple blue light therapy has significant effect in treatment of neonatal jaundice,can reduce adverse reactions incidence and is beneficial to prognosis of neonatal jaundice.