中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2012年
1期
19-20
,共2页
新生儿%小时胆红素%高危因素
新生兒%小時膽紅素%高危因素
신생인%소시담홍소%고위인소
Neonatal%Hour - specific serum bilirubin%High - risk factors
目的 探讨胎龄≥36周、体质量≥2500 g、总胆红素值位于小时胆红素百分位值列线图第75～95百分位的新生儿合理光疗时机.方法 利用美国2004年推荐使用的小时胆红素百分位值列线图,将生后72 h内总胆红素值位于第75 ～95百分位的新生儿,分为有黄疸高危因素的研究组及无黄疸高危因素的对照组,比较两组新生儿生后72 h后胆红素上升至第95百分位病例数的统计学差异.结果 对照组39倒,生后72 h后总胆红素上升至第95百分位5倒,发生率为12.8％ (5/39)；研究组31例,生后72 h后总胆红素上升至第95百分位10例,发生率为32.2％( 10/31),差异有统计学意义(x2=3.876,P＜ 0.05).结论 对生后72 h内总胆红素值位于小时胆红素百分位值列线图第75 ～95百分位并伴有黄疸高危因素的新生儿建议开始光疗,并积极治疗原发病.
目的 探討胎齡≥36週、體質量≥2500 g、總膽紅素值位于小時膽紅素百分位值列線圖第75～95百分位的新生兒閤理光療時機.方法 利用美國2004年推薦使用的小時膽紅素百分位值列線圖,將生後72 h內總膽紅素值位于第75 ～95百分位的新生兒,分為有黃疸高危因素的研究組及無黃疸高危因素的對照組,比較兩組新生兒生後72 h後膽紅素上升至第95百分位病例數的統計學差異.結果 對照組39倒,生後72 h後總膽紅素上升至第95百分位5倒,髮生率為12.8％ (5/39)；研究組31例,生後72 h後總膽紅素上升至第95百分位10例,髮生率為32.2％( 10/31),差異有統計學意義(x2=3.876,P＜ 0.05).結論 對生後72 h內總膽紅素值位于小時膽紅素百分位值列線圖第75 ～95百分位併伴有黃疸高危因素的新生兒建議開始光療,併積極治療原髮病.
목적 탐토태령≥36주、체질량≥2500 g、총담홍소치위우소시담홍소백분위치렬선도제75～95백분위적신생인합리광료시궤.방법 이용미국2004년추천사용적소시담홍소백분위치렬선도,장생후72 h내총담홍소치위우제75 ～95백분위적신생인,분위유황달고위인소적연구조급무황달고위인소적대조조,비교량조신생인생후72 h후담홍소상승지제95백분위병례수적통계학차이.결과 대조조39도,생후72 h후총담홍소상승지제95백분위5도,발생솔위12.8％ (5/39)；연구조31례,생후72 h후총담홍소상승지제95백분위10례,발생솔위32.2％( 10/31),차이유통계학의의(x2=3.876,P＜ 0.05).결론 대생후72 h내총담홍소치위우소시담홍소백분위치렬선도제75 ～95백분위병반유황달고위인소적신생인건의개시광료,병적겁치료원발병.
Objective To study the optimal time of phototherapy for newborns (gestational age≥36 weeks and birth weight≥2500 g) whose total bilirubin ranges from 75th to 95th percentile in the hour - specific serum bilirubin nomogram.Methods The hour - specific serum bilirubin nomogram recommended by America in 2004 was used in this study.Newborns total serum bilirubin (TSB) values from 75th to 95th percentile were divided into 2 groups based on high -risk factors of jaundice inside 72 hours after birth:the observed group with high - risk factors of jaundice and the CK group without them.The number of TSB of the newborns TSB beyond 95th percentile outside 72 h after birth was researched in the two groups.Results Before discharge,total serum bilirubin (TSB) values of 12.8％ (5/39) infants were in the high risk zone ( ＞95th percentile) in the CK group and of 32.2％ (10/31) were in that zone in the observed group.The difference was significant ( x2 =3.876,P ＜ 0.05 ).Conclusions Phototherapy should begin inside 72 hours after birth for the newborns with high - risk factors of jaundice and (TSB) values from 75 th to 95 th percentile,and the primary diseases should be treated actively.
