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目的:对比经皮胆红素测定和血液胆红素测定结果的一致性,为临床新生儿黄疸早期干预治疗提供简便、实用性强的检测方法。方法:选取2007年1月～2009年3月在该院生产的1 106例新生儿作为研究对象,出生后1～7天,每日对新生儿进行经皮胆红素监测。对经皮胆红素检测结果为阳性的患儿采血做血胆红素监测,比较两种检测方法的阳性率,同时采用妈咪爱对高胆红素血症患儿进行干预治疗。结果:经皮胆红素检测结果和采血胆红素检测结果基本一致,新生儿黄疸经过早期干预治疗后,高胆红素血症很快得到缓解。结论:采用经皮胆红素监测新生儿黄疸,具有操作简便、采样方便、新生儿痛苦小的优点,对于及早发现新生儿黄疸并进行干预治疗有重要意义。
Objective: To compare the consistency between the results of transcutaneous bilirubin and blood bilirubin, and to provide a simple and practical method for the early intervention treatment of jaundice in clinical neonates. Methods: A total of 1 106 newborns in our hospital from January 2007 to March 2009 were selected as research subjects. Perinatal bilirubin monitoring was performed on newborns daily from 1 to 7 days after birth. Children with positive transdermal bilirubin test blood bilirubin monitoring, comparing the positive rate of the two detection methods, while using mom love for intervention in children with hyperbilirubinemia. Results: The results of transdermal bilirubin test and blood bilirubin test results were basically the same. After neonatal jaundice was treated by early intervention, hyperbilirubinemia was quickly relieved. Conclusion: The monitoring of neonatal jaundice by percutaneous bilirubin has the advantages of simple operation, convenient sampling and little pain of newborn, which is of great significance for the early detection of neonatal jaundice and the intervention therapy.