CAJ | 학술논문

目的对比观察产科新生儿不同部位经皮胆红素(TCB)报警预值的可靠性。方法 132例产科新生儿采取随机数字分组法分为正常产组和剖官产组各66例，新生儿均于产后第4天同一时间点应用KJ8000经皮测黄仪分别测量额、胸、腹、额胸、额胸腹TCB值,TCB＞ 12.9 mg/dl者，取得亲属同意抽取静脉血检测血清胆红素(SB),对比分析不同部位TCB及其与SB值的差异。结果两组分别有17例或21例达到TCB报警预值。两组TCB或SB相同方法及相同部位比较，差异无统计学意义(P＞0.05)；两组TCB不同部位对比，额部值最低、胸部值最高，且与其他部位同组对比差异均有统计学意义(P＜0.01)；两组SB值对比差异无统计学意义(t =1.53,P＞0.05)，与不同部位TCB对比均以胸部数值差异无统计学意义(P＞0.05),而与其他部位T℃B两组差异均有统计学意义(P＜0.01)。结论正常产与剖宫产新生儿术后SB对比差异无意义；T℃B动态监测以胸部结果更接近SB。
목적 대비관찰산과신생인불동부위경피담홍소(TCB)보경예치적가고성。방법 132례산과신생인채취수궤수자분조법분위정상산조화부관산조각66례，신생인균우산후제4천동일시간점응용KJ8000경피측황의분별측량액、흉、복、액흉、액흉복TCB치,TCB＞ 12.9 mg/dl자，취득친속동의추취정맥혈검측혈청담홍소(SB),대비분석불동부위TCB급기여SB치적차이。결과 량조분별유17례혹21례체도TCB보경예치。량조TCB혹SB상동방법급상동부위비교，차이무통계학의의(P＞0.05)；량조TCB불동부위대비，액부치최저、흉부치최고，차여기타부위동조대비차이균유통계학의의(P＜0.01)；량조SB치대비차이무통계학의의(t =1.53,P＞0.05)，여불동부위TCB대비균이흉부수치차이무통계학의의(P＞0.05),이여기타부위T℃B량조차이균유통계학의의(P＜0.01)。결론 정상산여부궁산신생인술후SB대비차이무의의；T℃B동태감측이흉부결과경접근SB。
Objective To study the reliability of transcutaneous bilirubin (TCB) of different parts of neonates as predictive alarm of serum bilirubin ( SB ). Methods 132 cases of full-term neonates in Handan Central Hospital from May to July 2010 were divided into spontaneous delivery group and cesarean section group by random number. A KJ8000 transcutaneous bilirubinmeter was used to test their TCB at forehead, chest and abdomen on the fourth day after birth. The neonates were measured SB once TCB readings were more than 12.9 mg/dl. TCB of different parts and SB of the two groups were compared. Results The spontaneous delivery group had 17 cases of the. Neonates whose TCB readings were more than 12.9 mg/dl while the cesarean section group had 21 cases. TCB and SB of the same part by the same method showed no statistical significance between the two groups (t =0. 71, 2. 0, 1.25, 1. 0, 1.5;P ＞0. 05). TCB readings of chest were of no significant difference as compared with SB of the same group ( t =1. 72, 1. 33 ; P ＞ 0. 05 ). Conclusions SB of the spontaneous delivery group and the cesarean section group was of no significant difference. TCB reading of chest was closer to SB.