摘要
目的探讨Image-pro plus简易无创分析在新生儿黄疸颜色变化中的应用效果。方法选择2018年5月-2020年3月产科足月顺产新生儿100例作为对象,包括生理性黄疸新生儿与病理性黄疸新生儿。在标准色卡监测下,连续收集新生儿不同黄疸时期颜面部、腹部皮肤照片;在拟合软件下结合血清胆红素和相关曲线;运用Image-pro plus简易无创分析对新生儿黄疸治疗过程中黄疸颜色变化进行验证;结合Kramer'sstaging估算黄疸程度;绘制ROC曲线,分析其在新生儿黄疸颜色变化中的效能。结果Image-pro plus简易无创分析方法确诊新生儿黄疸93例;新生儿黄疸中平均血清胆红素值为(224.39±32.53)μmmol/L;皮肤AOI的OD值高于标准色卡OD值(P<0.05);ROC曲线结果表明:Image-proplus简易无创分析在新生儿黄疸颜色变化中诊断AUC值为0.89,诊断敏感性为0.85%,特异性为0.49%。结论Image-pro plus简易无创分析用于新生儿黄疸颜色变化中的效果理想,具有一定的方便性和实用性,可避免反复穿刺采血测定血清胆红素诊断黄疸,能指导临床治疗,值得推广。
Objective To explore the application effect of Image-proplus simple noninvasive analysis in the color change of neonatal jaundice. Methods From May 2018 to March 2020, 100 cases of full-term neonates in obstetrics were selected as the target, including:neonates with physiological jaundice and neonates with pathological jaundice. Under the standard color card monitoring, continuously collect photos of the face, abdomen and skin of different neonatal jaundice periods;combine serum bilirubin and relevant districts and counties under the fitting software;use Image-proplus simple non-invasive analysis to treat neonatal jaundice Moderate jaundice color changes for inflammation;combined with Kramer’sstaging to estimate the degree of jaundice;draw a ROC curve and analyze its effectiveness in neonatal jaundice color changes. Results Image-proplus simple noninvasive analysis method was used to diagnose 93 cases of neonatal jaundice.the mean serum bilirubin value in neonatal jaundice was(224.39±32.53)ummol/L;skin AOI OD value is higher than the standard color card OD value(P<0.05);ROC curve results show that:Image-proplus simple noninvasive analysis in neonatal jaundice color change diagnosis AUC value is 0.89, diagnostic sensitivity is 0.85%,specificity is 0.49%. Conclusion The simple non-invasive analysis of Image-proplus is ideal for the color change of neonatal jaundice, and it has certain convenience and practicality. It can avoid repeated puncture and blood collection to determine serum bilirubin to diagnose jaundice. It can guide clinical treatment and is worthy of popularization and application.
作者
何银枝
谢跃波
吴淑瑛
He Yinzhi;Xie Yuebo;Wu Shuying(The Maternal and Child Health Hospital of Poyang County,Poyang,Jiangxi 333100;The People's Hospital of Poyang County,Poyang,Jiangxi 333100)
出处
《基层医学论坛》
2021年第2期168-170,共3页
The Medical Forum
基金
江西省卫生计生委科技计划(20187299)。
