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目的探讨不同部位(经额、经胸、经肩胛)经皮测胆值判断血清胆红素水平的准确性。方法选择我院2014年4~8月收治的皮肤黄染足月新生儿,入院后分别测定额、胸、肩胛3个部位的经皮胆红素值,并在30 min内取静脉血测血清总胆红素值。分析不同部位经皮胆红素值与血清胆红素值的相关性。结果共纳入70例足月黄疸新生儿。3个部位经皮测胆值均与血清胆红素水平成直线正关性(经额r=0.834,经胸r=0.788,经肩胛r=0.925),P均<0.001,经肩胛部位相关性明显优于其他两个部位。经肩胛经皮测胆值与其他两个部位比较更接近于血清胆红素值,差异有统计学意义(P<0.05)。结论经肩胛经皮胆红素测定优于经额及经胸测定,更能指导临床监测。
Objective To investigate the accuracy of determining serum bilirubin level in different parts (forehead, transthoracic and scapula) Methods Forty-four neonates with full-flesh yellowing were treated in our hospital from April to August 2014. The transcutaneous bilirubin values were measured in three sites of frontal, thoracic and scapular respectively after admission. Venous blood serum Total bilirubin value. Analysis of different parts of the transcutaneous bilirubin value and serum bilirubin value correlation. Results A total of 70 neonatal jaundice were enrolled. Percutaneous determination of gallbladder value in all three sites was positively correlated with serum bilirubin level (r = 0.834, r = 0.788, r = 0.925, respectively), P <0.001, Obviously better than the other two parts. Measured by the scapular gallbladder value and the other two sites closer to serum bilirubin values, the difference was statistically significant (P <0.05). Conclusions Transcutaneous scalp bilirubin determination is superior to quantitative and transthoracic determination, which can guide clinical monitoring.