【摘要】 目的研究强化光疗治疗新生儿高胆红素血症患儿的临床效果。方法选取该院于2012年1月—2018年12月收治的90例高胆红素血症新生儿为对象,2012年1月—2015年12月前收治的43例新生儿接受普通光疗,视作普通组,2016年1月—2018年12月收治的47例新生儿接受强化光疗,视作强化组。比较两组血清胆红素水平、治愈率、再次光疗率。结果强化组光疗后24 h总胆红素、间接胆红素水平均低于普通组(P<0.05),强化组光疗后24 h经皮胆红素水平低于普通组(P<0.05);强化组治愈率为93.62%,明显高于普通组76.74%,再次光疗率为6.38%,明显低于普通组23.26%(χ~2=5.173,P<0.05)。结论对新生儿高胆红素血症患儿进行强化光疗能够减少对再次光疗的需求,提升血清胆红素水平控制效果,有良好应用价值。更多还原

【Abstract】 Objective To study the clinical effect of enhanced phototherapy in the treatment of neonatal hyperbilirubinemia. Methods From January 2012 to December 2018, 90 neonates with hyperbilirubinemia were selected as subjects. 43 neonates treated Janury December 2015 were treated with ordinary phototherapy, which were regarded as ordinary group. 47 neonates treated from January20161 to December 2018 were treated with enhanced phototherapy. The serum bilirubin level, cure rate and rephototherapy rate were compared between the two groups. Results The levels of total bilirubin and indirect bilirubin in the enhanced group were lower than those in the common group 24 h after phototherapy(P<0.05), and 24 h after phototherapy in the enhanced group,the level of transdermal bilirubin was lower than that of the common group(P<0.05). The cure rate of the enhanced group was 93.62%, which was significantly higher than that of the ordinary group(76.74%), and the rate of rephototherapy was 6.38%, which was significantly lower than that of the ordinary group 23.26%(P<0.05). Conclusion Enhanced phototherapy can reduce the demand for rephototherapy and improve the control effect of serum bilirubin level in neonates with hyperbilirubinemia, which is of good application value.更多还原