摘要
目的:探讨采用传统病理性黄疸和小时胆红素诊断标准对高胆红素血症患儿的临床和心肌酶检测结果。方法:对照组选择符合病理性黄疸的诊断标准患儿,研究组选择采用小时胆红素概念诊断的高胆红素血症患儿,观察两组患儿入院时和治疗后的血清总胆红素(TB),谷草转氨酶(AST)、乳酸脱氢酶(LDH)、肌酸激酶(CK)、肌酸激酶同工酶(CK-MB)。结果:研究组和对照组患儿治疗后TB、AST、LDH、CK、CK-MB较入院时均降低(P均<0.05)。入院时研究组TB较对照组低(t=19.48,P<0.05),AST、LDH、CK、CK-MB两组间差异均无统计学意义(P>0.05),治疗后研究组TB较对照组高(t=14.35,P<0.05),AST、CK及LDH两组间差异均存在统计学意义(P<0.05),但是CK-MB两组间差异无统计学意义(P>0.05)。结论:采用小时胆红素的概念对患儿进行诊断和治疗可以有效降低心肌酶值。
Objective ：To describe the clinical and myocardial enzyme characteristics of neonatal hyperbilirubi ‐nemia after treatment using diagnostic standard of pathologic jaundice or hour‐bilirubin . Methods ：A descriptive study was carried out by reviewing the clinical files containing sideeffect ,TB ,AST ,LDH ,CK and CK‐MB of neonatal who were diagnosed hyperbilirubinemia .Neonatal diagnosed pathological jaundice allocated to control group . Neonatal diagnosed using hour‐bilirubin allocated to experimental group .Results ：The experimental group was admitted to hospital more early （t= 3 .49 , P〈 0 .05） .Two groups of children with TB ,AST ,LDH ,CK and CK‐MB on admission were lower after treatment （P 〈 0 .05） .The experimental group was lower than control group of TB , AST ,CK and LDH on admitting （P〈 0 .05） .However ,there was no statistical significance of CK‐MB value （P〉0 . 05） .Conclusion ：Our results revealed that it can effectively reduce the value of myocardial enzyme with reference to the concept of the hour‐bilirubin to diagnosis and treatment .
出处
《陕西医学杂志》
CAS
2017年第1期25-27,共3页
Shaanxi Medical Journal
