海冬, 王岩, 宋力艳, 王彩芳, 邸菁华. 新生儿病理性黄疸的预防干预时间窗探讨[J]. 蚌埠医科大学学报, 2015, 40(11): 1534-1536. DOI: 10.13898/j.cnki.issn.1000-2200.2015.11.023
    引用本文: 海冬, 王岩, 宋力艳, 王彩芳, 邸菁华. 新生儿病理性黄疸的预防干预时间窗探讨[J]. 蚌埠医科大学学报, 2015, 40(11): 1534-1536. DOI: 10.13898/j.cnki.issn.1000-2200.2015.11.023
    HAI Dong, WANG Yan, SONG Li-yan, WANG Cai-fang, DI Jing-hua. Investigation of the prevention and intervention time window in pathological jaundice newborn[J]. Journal of Bengbu Medical University, 2015, 40(11): 1534-1536. DOI: 10.13898/j.cnki.issn.1000-2200.2015.11.023
    Citation: HAI Dong, WANG Yan, SONG Li-yan, WANG Cai-fang, DI Jing-hua. Investigation of the prevention and intervention time window in pathological jaundice newborn[J]. Journal of Bengbu Medical University, 2015, 40(11): 1534-1536. DOI: 10.13898/j.cnki.issn.1000-2200.2015.11.023

    新生儿病理性黄疸的预防干预时间窗探讨

    Investigation of the prevention and intervention time window in pathological jaundice newborn

    • 摘要: 目的:探讨早期干预对新生儿病理性黄疸的预防效果。方法:对2012年3月至2014年12月分娩的302例足月新生儿脐静脉血进行肝功能检测,并分别在生后24 h、48 h及72 h给予脐血总胆红素浓度 >50.1μmol/L或脐血总胆汁酸测量值 >11.295μmol/L的新生儿进行提早干预治疗。结果:干预组新生儿病理性黄疸的发生率为23.65%,明显低于对照组的58.44%(P<0.01)。生后24 h干预组和生后48 h干预组及72 h干预组新生儿病理性黄疸发生率差异均无统计学意义(P>0.05)。结论:脐血总胆红素浓度>50.1μmol/L或脐血总胆汁酸测量值 >11.295μmol/L的新生儿于生后进行干预治疗能有效预防病理性黄疸,值得临床推广。

       

      Abstract: Objective: To investigate the preventive effects of the early intervention in newborn pathological jaundice.Methods: The liver function data of umbilical venous blood in 302 full-term newborns were measured from March 2012 to December 2014.The early intervention treatment in newborns with total bilirubin higher than 50.1μmol/L or total bile acid higher than 11.295μmol/L in umbilical cord blood were implemented after 24 h,48 h and 72 h of birth.Results: The incidence of the newborn pathological jaundice in early intervention(23.65%) was lower than that in the nonintervention newborn(58.44%)(P<0.01).The effects of 24 h,48 h and 72 h intervention group was not statistically significant(P>0.05).Conclusions: The invention after of birth in newborns with total bilirubin higher than 50.1μmol/L or total bile acid higher than 11.295μmol/L in umbilical cord blood can effectively prevent the pathological jaundice,which is worthy of promotion in clinic.

       

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