换血治疗新生儿重度高胆红素血症效果分析.docVIP

换血治疗新生儿重度高胆红素血症效果分析 　　[摘要] 目的 研究与分析新生儿重度高胆红素血症应用换血治疗的效果。 方法 选取我院2015年1月～2017年1月收治的60例新生儿重度高胆红素血症患者为对象进行研究，通过对其全部临床资料进行回顾性分析，所有患者均采用换血治疗。观察比较换血前后患者的血液指标以及治疗效果。 结果 换血后，60例患者中治愈出院58例，治愈率为96.67%（58/60），2例患者由于处于痉挛期而放弃治疗。60例患者换血后，其DBIL（结合胆红素）、IBIL（未结合胆红素）、TBIL（总胆红素）、PLT（白细胞）、WBC（血小板）、RBC（红细胞）等与换血前相比，差异有统计学意义（P0.05）。 结论 新生儿重度高胆红素血症应用换血治疗效果非常显著，既能达到较高的治愈率，又能改善患者各项血液指标，从而避免发生各种不良反应，值得临床推广应用。 　　[关键词] 新生儿；重度高胆红素血症；换血治疗；治愈率 　　[中图分类号] R722.17 [文献标识码] B [文章编号] 1673-9701（2017）29-0058-03 　　Analysis on the effect of exchange transfusion in the treatment of neonatal severe hyperbilirubinemia 　　CHEN Lei 　　Department of Neonatology， Xinyu Maternal and Child Care Center in Jiangxi Province， Xinyu 338000， China 　　[Abstract] Objective To study and analyze the effect of blood exchange transfusion therapy in neonatal severe hyperbilirubinemia. Methods A total of 60 patients with neonatal severe hyperbilirubinemia who were admitted to our hospital from January 2015 to January 2017 were selected as the study subjects. All the clinical data were retrospectively analyzed. All patients were treated with exchange transfusion. The blood parameters and the treatment effect were observed and compared before and after transfusion. Results After blood transfusion， 58 cases were cured and discharged among 60 patients. The cure rate was 96.67%（58/60）. There were two patients who were in spasms and thus gave up the treatment. In 60 patients after transfusion， DBIL（conjugated bilirubin）， IBIL （unconjugated bilirubin）， TBIL （total bilirubin）， PLT （platelet）， WBC （white blood cell）， RBC （red blood cells） were significantly different from those before transfusion， and the difference was statistically significant（P0.05）. Conclusion The effect of blood exchange transfusion therapy in neonatal severe hyperbilirubinemia is very significant， which can achieve a higher cure rate， and can improve the patients blood indicators， so as to avoid all kinds of adverse reactions. It is worthy of promotion in clini