早期新生儿黄疸的动态监测及早期干预治疗效果评价

目的观察出生1周内新生儿黄疸的动态变化、高胆红素血症患儿病因分析及早期干预治疗的效果。方法利用经皮胆红素测定仪对我院产科出生的928例新生儿每日进行同一部位的皮肤测定,根据新生儿不同出生情况对超过胆红素值安全范围的及时给予口服药物或转儿科蓝光治疗。结果928例新生儿因高胆红素血症住院156例,高胆红素血症发生率为15.74%,无1例发生胆红素脑病。结论对新生儿黄疸进行监测和早期干预治疗,可大幅度降低高胆红素血症的发病率,从而防止胆红素脑病的发生。

Dynamic Detection of Early Neonatal Jaundice and Effect of Early Intervention

Objective To observe the bilirubin dynamically in newborn infants with a age of 1-7days, the influence factors of newborn hyperbilirubinemia, and the effect of early interventional management on it.MethodsA total of 928 infants’ bilirubin levels were measured every day through transcutaneous bilirubinometer. The interventional managements were applied to the infants whose bilirubin levels were harmful. ResultsAmong the 928 infants, the morbidity of hyperbilirubinemia was 15.74%. There was no bilirubin encephalopathy in them. ConclusionThe morbidity of newborn hyperbilirubinemia can be highly reduced if the neonatal jaundice is dynamically monitored and early intervened, and therefore bilirubin encephalopathy will be prevented.