出生后24h检测胆红素对新生儿黄疸的预测意义

The significance of the bilirubin level of neonates after 24 hours in predicting neonatal jaundice

摘要: 目的:探讨出生后24 h检测胆红素对新生儿黄疸的预测意义。方法:选取118例新生儿,分别于出生后24、48及72 h检测新生儿血清中胆红素水平。结果:新生儿出生后24、48及72 h血清中胆红素水平分别为(94.525.6)、(176.542.1)及(230.142.3)mol/L,差异均有统计学意义(P0.01);新生儿出生后24 h血清中胆红素水平越高,发生病理性黄疸的概率越高(P0.01)。结论:出生后24 h检测胆红素水平,可预测新生儿病理性黄疸的发生率,使患儿得到适时的诊断和治疗,对降低病理性黄疸的发生以及预防胆红素脑病有重要的临床意义。

Abstract: ObjectiveTo explore the significance of the bilirubin levels of neonates after 24 hours in predicting neonatal jaundice.Methods: The serum bilirubin levels of 118 neonates at 24，48 and 72 hours after birth were detected.Results: The serum bilirubin levels of neonates at 24， 48 and 72 hours after birth were( 94.5 25.6) ，( 176.5 42.1) and( 230.1 42.3) mol /L， respectively，the difference of which had statistical significance( P 0.01) .The incidence of pathologic jaundice increased with the increasing of serum bilirubin levels of neonates after 24 hours( P 0.01) . Conclusions: The levels of serum bilirubin of neonates after 24 hours can predict the incidence of neonatal jaundice.The proper diagnosis and treatment can reduce the incidence of pathologic jaundice and prevent bilirubin encephalopathy.