间歇蓝光治疗新生儿黄疸的优势分析(1)
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【摘要】 目的：比较间歇及持续蓝光治疗新生儿黄疸的疗效并分析间隙蓝光的优势。方法：病房住院的90例新生儿黄疸患儿，按随机数字表法分为两组，各45例。观察组：采用照射4 h/次，2次/d，中间间断4 h；对照组：连续照射16 h，1次/d。分别于治疗前、治疗后48、96 h采静脉血，测定胆红素值。结果：两组治疗前后胆红素比较，差异均无统计学意义(P>0.05)；而同组治疗前后比较，差异有统计学意义(P<0.05)。两组痊愈率及总有效率比较，差异均无统计学意义(P>0.05)。但两组患儿腹泻、吃奶减少、体温升高发生率比较，差异有统计学意义(P<0.05)；皮疹、脱水发生率比较，差异无统计学意义(P>0.05)。结论：间歇蓝光照射能更安全治疗新生儿黄疸，同时避免了对患儿体温波动、生理节奏、生活环境的长时间干扰和影响。
【关键词】 新生儿黄疸； 间歇蓝光； 优势
The Advantage Analysis of Treating Neonatal Jaundice with Intermittent Blu-ray/HUANG Hong.//Medical Innovation of China，2012，9(9):13-14
【Abstract】 Objective: To compare the effect of intermittent and continuous Blu-ray in treating neonatal jaundice， and analyze the advantage of the intermittent Blu-ray. Methods: 90 cases of neonatal jaundice who were hospitalized patients， were divided into two groups with random number table method. Observer group: Exposure 4 hours per time， 2 times per day， and middle intermittent 4 hours. Control group: Continuous exposure to 16 hours， 1 time per day. Collected vein blood to measure bilirubin， respectively， before and after treatment 48 hours and 96 hours. Results: Compared the bilirubin before and after treatment， there was no significant difference(P>0.05)， but before and after treatment in the same group， the difference was significant(P<0.05). However， compared the incidence of diarrhea， feeding reduced and elevated body temperature in the two groups， the difference was significant(P<0.05). The difference was not significant(P>0.05) for rash and dehydration rate. Conclusion: Intermittent Blu-ray is more effective in treating neonatal jaundice， while avoiding fluctuations in body temperature of children， circadian rhythm， the living environment interferenced and influenced in long time.
【Key words】 Neonatal jaundice; Intermittent blue-ray; Advantage
First-author’s address: Maternity and Child Health Hospital of Huaihua， Huaihua 418000， China
doi:10.3969/j.issn.1674-4985.2012.09.006
黄疸是新生儿常见疾病，约有60%新生儿在生后早期会出现黄疸，而早产儿的发生率可达80%，若治疗不及时，死亡率及后遗症发生率高。蓝光对新生儿黄疸的治疗在临床获得了广泛的应用，但不同医院采用光疗的时间及方法有所不同。传统的方法是12 h或24 h连续照射，但是长时间的连续照射易引发一些不良反应。笔者2010年5月-2011年12月采用间隙蓝光治疗，疗效满意，现报道如下。
1 资料与方法 ......
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