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目的:探讨早期日光干预对新生儿黄疸的治疗效果。方法:选择出生时经皮胆红素测定TCB≥2.5mg/dl的120例新生儿,随机分为观察组60例,对照组60例。观察组于每天沐浴后间断行日光照射4～6h,对照组不采取日光照射。每日严密监测新生儿的TCB数值,对两组新生儿TCB值≥12.9mg/dl者定为高胆红素血症,均给予茵栀黄颗粒和妈咪爱散剂喂服。新生儿出院后继续随访至TCB≤5mg/dl。结果:两组高胆红素血症的发生率(服药率)分别为10%、55%,两组的TCB峰值分别为﹙9.42±0.48﹚mg/dl、﹙13.82±0.82﹚mg/dl;两组的黄疸持续时间分别为﹙9.20±1.40﹚天、﹙16.80±1.20﹚天。结论:对新生儿每天采取日光照射,可有效地减轻新生儿黄疸的程度,预防高胆红素血症及核黄疸的发生。
Objective: To investigate the effect of early sunlight on neonatal jaundice. Methods: One hundred and twenty newborns with TCB≥2.5mg / dl at the time of birth were selected and randomly divided into observation group (60 cases) and control group (60 cases). The observation group was exposed to daily sunlight for 4 ~ 6 hours after bathing, and the control group did not take sunlight. Tight monitoring of neonatal TCB daily values of two groups of newborns with TCB value of ≥ 12.9mg / dl as hyperbilirubinemia, were given Yinzhihuang granules and mommy love powder feeding. Neonates continue to follow-up after discharge to TCB ≤ 5mg / dl. Results: The incidence of hyperbilirubinemia in the two groups was 10% and 55%, respectively. The TCB peaks of the two groups were (9.42 ± 0.48) mg / dl and (13.82 ± 0.82) mg / dl, respectively. The duration of jaundice in both groups was (9.20 ± 1.40) days and (16.80 ± 1.20) days respectively. Conclusion: Taking daily sunlight to newborns can effectively reduce the degree of neonatal jaundice and prevent the occurrence of hyperbilirubinemia and kernicterus.