论文部分内容阅读
目的研究和探索短时多次蓝光治疗在新生儿黄疸治疗中的临床效果和应用价值。方法选择2014年2月-2015年2月在荆门市第二人民医院接受治疗的新生儿黄疸患者198例,随机分为使用常规长时蓝光治疗的对照组99例和使用短时多次蓝光疗法治疗的观察组99例,记录和统计两组黄疸患儿治疗后总胆红素和游离胆红素的含量,对比两组患儿的临床疗效和不良反应发生率等。结果观察组患儿治疗后体内总胆红素水平为(66.1±6.8)μmol/L,游离胆红素为(26.8±4.7)μmol/L,治疗总有效率为96.97%;对照组患儿治疗后体内总胆红素为(110.5±10.8)μmol/L,游离胆红素为(59.7±9.4)μmol/L,治疗总有效率为80.81%,两组比较,差异有统计学意义(P<0.05)。观察组不良反应发生率为13.26%,对照组为29.59%,两组比较,差异有统计学意义(P<0.05)。结论短时多次蓝光疗法可以大大提高新生儿黄疸患者的临床治疗有效率,降低不良反应的发生率,具有临床推广价值。
Objective To study and explore the clinical effect and application value of short-term and multi-step blue light therapy in neonatal jaundice. Methods A total of 198 neonates with jaundice who were treated in Jingmen Second People’s Hospital from February 2014 to February 2015 were randomly divided into two groups: control group (n = 99) treated with conventional long-term blue light and chronic blue-light therapy Treatment of observation group of 99 cases, records and statistics of two groups of jaundice children after treatment of total bilirubin and free bilirubin content, compared two groups of children’s clinical efficacy and adverse reaction rates. Results After treatment, the total bilirubin level in the observation group was (66.1 ± 6.8) μmol / L and that of free bilirubin was (26.8 ± 4.7) μmol / L, and the total effective rate was 96.97% The total effective bilirubin (110.5 ± 10.8) μmol / L, free bilirubin (59.7 ± 9.4) μmol / L and the total effective rate of treatment were 80.81% in both groups, with significant difference between the two groups (P < 0.05). The incidence of adverse reactions in the observation group was 13.26% and in the control group was 29.59%. There was significant difference between the two groups (P <0.05). Conclusion Multiple short-term blue light therapy can greatly improve the clinical treatment of neonatal jaundice patients, reduce the incidence of adverse reactions, with clinical value.