论文部分内容阅读
为了探讨新生儿高胆红素血症与20项新生儿行为神经测定（NBNA）的关系，将20项NBNA应用于本院82例高胆红素血症患儿。结果显示：（1）当血清胆红素水平≥205umol／L，对20项NBNA即有显著影响（P＜0．01），血清胆红素≥340umol／L，则与NBNA评分呈明显直线负相关关系（r=－0．841，P＜0.01）。（2）溶血、感染所致高胆红素血症NBNA评分均低于对照组，差异有显著意义（P＜0．05）；母乳性黄疸儿NBNA评分与对照组无显著差异。（3）高胆红素血症主要影响患儿的视听定向能力。提示高胆红素血症影响新生儿行为神经，并以溶血性、感染性高胆危险性大；对血清胆红素≥340umol／L者，应采取积极有效措施，以减少胆红素脑病的发生。
To investigate the relationship between neonatal hyperbilirubinemia and behavioral neuroimaging (NBNA) in 20 neonates, 20 NBNA were used in 82 children with hyperbilirubinemia in our hospital. The results showed that: (1) When serum bilirubin level was more than 205umol / L, there were significant effects on 20 NBNAs (P <0.01) and serum bilirubin≥340umol / L, Correlation (r = -0.841, P <0.01). (2) The NBNA score of hyperbilirubinemia induced by hemolysis and infection were lower than that of the control group (P <0.05). There was no significant difference in the NBNA score of breast milk jaundice compared with the control group. (3) Hyperbilirubinemia mainly affects children’s audio-visual orientation ability. Prompted hyperbilirubinemia affect neonatal behavioral neurology, and hemolytic, high risk of infectious bile high; serum bilirubin ≥ 340umol / L, should take positive and effective measures to reduce bilirubin encephalopathy occur.