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目的 为探讨新生儿黄疸程度评估方法 ,早期预测高胆红素血症的发生。方法 对 195例新生儿黄疸应用肉眼目测法、经皮胆红素仪检测法、血清胆红素测定进行对比研究三者的关系。结果 三种方法在评估新生儿黄疸程度关系密切 ,组间比较差异均有高度显著性 (P <0 0 0 1) ,优缺点各异 ,可作为新生儿黄疸的综合评估手段。结论 目测方法简便 ,全身皮肤黄疸即达高胆红素血症水平 ;经皮胆红素测试无创伤、易操作 ,指数2 7确定高胆红素血症标准 ;静脉采血准确 ,并可了解直接胆红素水平 ,但反复操作 ,不易接受。
Objective To explore the assessment of neonatal jaundice, early prediction of the occurrence of hyperbilirubinemia. Methods 195 cases of neonatal jaundice by visual inspection, transdermal bilirubin detection, serum bilirubin determination compared the relationship between the three. Results There was a close relationship between the three methods in assessing the degree of neonatal jaundice. There was significant difference between the groups (P <0.01), with different advantages and disadvantages, which could be used as a comprehensive assessment of neonatal jaundice. Conclusions The visual inspection method is simple, the whole body skin jaundice reached the level of hyperbilirubinemia; transdermal bilirubin test non-invasive, easy to operate, index 27 to determine the standard of hyperbilirubinemia; venous blood sampling accuracy, and can understand direct Bilirubin level, but repeated operation, not easy to accept.