摘要
目的比较研究高胆红素血症新生儿光疗中不同部位经皮胆红素的测定水平。方法对100例高胆红素血症接受光疗的新生儿,在每次光疗前、光疗结束时、光疗结束后12 h测定其常规部位(前额正中)和遮盖部位(前额眉心)的经皮胆红素水平,并比较两部位不同时间点胆红素水平的变化。结果光疗前和光疗后12 h常规部位和遮盖部位经皮胆红素水平无显著性差异(P>0.05),而光疗结束时遮盖部位的经皮胆红素水平显著高于常规部位(P<0.05)。结论采用经皮胆红素检测高胆红素血症患儿的光疗效果时,应同时检测暴露部位和遮盖部位的胆红素值加以综合分析。
Objective To investigate and compare the bilirubin levels detected through skin in different parts during phototherapy in neonates with hyperbilirubinemia. Methods The bilirubin levels of exposed part （forehead center） and covered part （site between eyebrows） were detected through skin before and immediately after phototherapy and in 12 hours after phototherapy in 100 neonates with hyperbilirubinemia, and the bilirubin level changes of different parts on different time were compared. Results There were no significant differences between the bilirubin level of the exposed part and that of the covered part before phototherapy and in 12 hours after phototherapy （P 〉 0.05） , however, the bilirubin level of the covered part was significantly higher than that of the exposed part immediately after phototherapy （ P 〈 0.05 ）. Conclusion The bilirubin levels of different parts should be detected at the same time when effects of phototherapy are evaluated by percutaneous bilirubin detection in neonates with hyperbilirubinemia.
出处
《杭州师范学院学报（医学版）》
2008年第3期171-172,200,共3页
Journal of Hangzhou Teachers College :Medical Edition
关键词
新生儿高胆红素血症
光疗
经皮胆红素测定
hyperbilirubinemia in newborn
phototherapy
pereutaneous bilirubin detection
