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目的通过黄疸监测了解昆明地区足月新生儿黄疸发生情况;极早发现病理性黄疸进行早期治疗。方法采用日本生产的JM-103经皮胆红素测定仪,每日早查房时对每个新生儿的额部正中(眉间)及胸部(胸骨角)进行测试,取其均值,数值(12.9mg/dl时,每个部位测2次,取两次的平均值。结果昆明地区足月新生儿黄疸发生率高,黄疸程度深,在高胆红素血症婴儿中74.75%无明显原发疾病。结论(1)昆明地区足月新生儿黄疸发生率高,黄疸程度深,可能与昆明海拔较高、纯母乳喂养、初产妇、剖宫产率较高(60.9%)等因素有关,是否存在生理性黄疸的峰值高于其它地区有待于进一步观察;(2)如何避免高胆红素血症对机体的损害,同时防止过度治疗仍然是值得探讨的问题。
Objective To understand the incidence of jaundice in full-term newborns in Kunming by monitoring jaundice; early detection of pathological jaundice for early treatment. Methods The JM-103 transdermal bilirubin meter produced in Japan was used to test each frontal part of the neonate (glabella) and chest (sternal angle) during early morning rounds, taking the mean value 12.9mg / dl, each site measured 2 times, take twice the average.Results The full-term neonatal jaundice in Kunming, a high incidence of jaundice, 74.75% in hyperbilirubinemia infants no significant (P0.05) .Conclusion (1) The incidence of jaundice in full-term newborns in Kunming area is high and the degree of jaundice is deep, which may be related to the factors such as higher altitude, exclusive breastfeeding, primipara, cesarean section rate in Kunming (60.9% Whether the presence of physiological jaundice peak higher than other areas to be further observed; (2) How to avoid the damage of hyperbilirubinemia on the body, while preventing over-treatment is still worth exploring.