新生儿高胆红素血症持续蓝光照射与单纯药物治疗对比观察.pdfVIP

? 208 中国优生优育 2011 年 8 月第 17 卷第 4 期 Chine脚 Joumal of Healthy Bi础 Child Care Vol 腼 17 No.4 August 2011 新生儿高胆红素血症持续蓝光照射与单纯药物治疗对比观察 陈才胡文椅来丽君 摘要 确伪 探讨持续蓝光照射治疗新生儿高胆红素血痕的可行性。方 ot 将 185 例高胆红素血症患儿随机分为两 组。观察组 95 例，对照组 90 例，两组在日龄、体质量、性别、黄疲程度差异无统计学意义。观察组采用持续蓝光照射 1 -2 d 为一疗程，对照组采用药物治疗，给予鲁米那每日 5 mglkg ，分 3 次口服，尼可刹米每日 1 ∞ mglkg ，分 3 次口服，妈咪爱 112 袋， 2/ 日，清开灵每日 1.5 mllkg 等静漓。将所得的结果进行统计学处理。桔搭 持续蓝光照射与单纯药物治疗对新生儿高胆 红素血症同等有效，未出现明显的副作用。单纯药物治疗比持续蓝光照射黄痕消退慢，住院时间长。而持续葳光照射黄瘦消 退快，住院时间短。差异具有统计学意义 (PO.05) 。帷俗 持续蓝光照射治疗新生儿离胆红索血症明显优于单纯药物治 疗。 关键词新生儿高胆红素血症持续蓝光 药物 Comparative study of 由e continuous blue light irradiation aod siogle drug io treatment 00 nωnatal hyperbiliru刷刷 刷mia CHEN Cai HU Wen-缸 ZHU Li才 un ABSTRACT Objective To explore the feasibility of continuous blue light treatment of neonatal hyperbiliruhinemia. Meth创s 185 cases of hyperhiliruhinemia were randomly divìded into two groups. Observation of 95 c槌es in the control 萨。up 90 cωes ，由自 two 萨。ups in age. weight. gender. no significant differences in the degree of jaundice. Ohservation 萨。up were treated with continuous blue light 1-2 d for a course in the control group were treated with drug therapy , given luminal daily 5 mgl峙， 3 times or哟， nikethamide daily 1ωmgl峙， orally 3 times. Love Mummy 112 b鸣亩， 2/day, daily 1. 5 mνkg 80 Qingkailing infusion. The results for statistical a? nalysis. ωults The continuous blue light with simple drug treatment of neonatal hyperbilirubinemia equally effective. side effects. no significant differences. Continued drug therapy alone was slower than hlu ray irradiation , and had longer hospital stay. The continu? ous blue light jaundíce fast , shorter hospítal 自tay (P O. 05 ). Conclusion Contínuous blue light treatment of neonatal hyperhil