日光照射对新生儿黄疸早期干预的疗效观察

摘要

目的：探讨日光照射对新生儿黄疸早期干预的临床疗效。方法将本院爱婴区2013年2~5月收治的216例足月分娩的新生儿随机分为观察组与对照组。对照组采用口服小剂量苯巴比妥促进肝酶活性；观察组在对照组基础上加用裸体日光照射。记录两组干预后第0、24、48、72 h的经皮测胆红素值，并比较两组新生儿的转科率。结果干预后观察组经皮测胆红素值低于对照组(P<0.05)，观察组符合高胆红素血症标准且需转新生儿科占0.93%，对照组占6.48豫，两组差异有统计学意义(P<0.05)。结论日光照射干预新生儿黄疸的疗效明显、简便易行、经济实惠，可推广应用。%Objective To explore the clinical curative effect of solar radiation for neonatal jaundice early intervention. Methods 216 newborns of full term delivery admitted into our hospital baby care from February to May 2013 were di-vided into observation group and control group.Oral low-dose phenobarbital was given to the control group to promote enzyme activity of liver.On the basis of control group,naked solar radiation was added to observation group.At 0th,24th, 48th and 72th hour after intervention,percutaneous bilirubin measurement values between two groups was recorded,the transfer rate of newborn was compared. Results After the intervention,percutaneous bilirubin measurement values in observation group was lower than that of control group (P<0.05).The proportion of newborns who met the hyperbiliru-binemia criteria that needed to transfer into neonatal department in observation group was 0.93%,in control group was 6.48%,the difference was significant (P<0.05). Conclusion The effect of solar radiation intervention on neonatal jaun-dice is remarkable,and it is simple and affordable,which is worthy of clinical promotion and application.