经皮胆红素及微量血胆红素测定在新生儿高胆红素血症治疗中的应用.doc

精品论文 参考文献 经皮胆红素及微量血胆红素测定在新生儿高胆红素血症治疗中的应用 熊伟 　　（成都市青白江区妇幼保健院 四川 成都 610300） 　　【摘要】 目的：探析新生儿高胆红素血症中采用微量血胆红素（TSB）、经皮胆红素（TCB）进行测定的有效性。方法：抽取我院2013年8月~2014年8月收治的45例高胆红素血症新生儿作为研究对象，分别采用微量血红素（TSB）、经皮胆红素（TCB）进行测定，对比两种不同测定方法的动态监测效果。结果：微量血胆红素、经皮胆红素第一次光疗结束后数据为（242.65plusmn;55.21）、（256.55plusmn;60.27）；第二次光疗结束后数据为（187.16plusmn;64.35）、（190.44plusmn;55.66），组间数据对比差异明显，有统计学意义（P＜0.05）。结论：经皮胆红素测定具有准确。快捷、方便等优势，对早期高胆红素症可实现动态监测、明确诊断等，在中后期微量血总胆红素的测定中具有更为准确的效果，值得临床推广应用。 　　【关键词】 新生儿高胆红素血症；微量血胆红素；经皮胆红素 　　【中图分类号】R722 【文献标识码】A 【文章编号】2095-1752（2016）05-0031-02 　　Percutaneous bilirubin and determination of trace blood bilirubin in the application of the high neonatal bilirubin hematic disease treatment Xiong Wei. Maternity and Child Care of Qingbaijiang District, Chengdu City, Sichuan , Chengdu 610300,China 　　【Abstract】Objective To explore newborn in high blood bilirubin trace blood bilirubin (TSB), percutaneous effectiveness of bilirubin (TCB) were determined. Method Extract from August 2013 to August 2014 were 45 cases of high blood bilirubin newborns as the research object, with trace hemoglobin (TSB), percutaneous bilirubin (TCB) were determined, compared to two kinds of different measurement method of dynamic monitoring results. Results The trace of blood bilirubin, transcutaneous bilirubin after phototherapy data for the first time for (242.65plusmn;/ - 55.21), (256.55plusmn;60.27); After phototherapy data for a second time (187.16plusmn;64.35), (190.44plusmn;55.66), and data contrast differences between groups, with statistical significance (P lt; 0.05). Conclusion Percutaneous bilirubin is accurate. The advantages of the quick, convenient, high bilirubin disease which can realize the dynamic monitoring for early and clear diagnosis, etc., in the later period traces of blood in the determination of total bilirubin has more accurate effect, worthy of clinical popularization and application. 　　【Key words】 High neonatal bilirubin concentration; Traces