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高胆红素血症新生儿溶血病的血清检测效果及检出率

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目的 分析高胆红素血症新生儿溶血病的血清检测结果及检出率。方法 于 2022 年 8 月—2023 年 7 月筛选梅州市人民医院输血科确诊的 308 例高胆红素血症新生儿,鉴定新生儿血型,并进行血清学三项试验检查,其中经放散试验、游离试验及直抗试验顺序进行。分析检测结果,统计每种血清检测方式对溶血病检出率,分析血型分布,进行血清检测价值评价。结果 溶血病血清检测中,放散试验阳性检出率为 44。8%,直抗试验阳性检出率为 1。9%,游离试验阳性检出率为 29。2%,其中放散试验检出率最高,其次为游离试验、直抗试验,差异有统计学意义(P<0。05)。新生儿溶血病患儿中,A型、B型血检出比例最高,差异有统计学意义(P<0。05)。结论 高胆红素血症新生儿中发生溶血病的风险高。通过血清三项检测能够有效提升溶血病的检出率,便于对症治疗。掌握溶血病的血型分布特点,也可做好更全面地监护。
Serum Detection Effect and Detection Rate of Hemolytic Disease in Newborns With Hyperbilirubinemia
Objective To analyze the serum detection effect and detection rate of hemolytic disease in newborns with hyperbilirubinemia.Methods From August 2022 to July 2023,a total of 308 newborns with confirmed hyperbilirubinemia in department of blood transfusion,Meizhou People's Hospital were screened,their blood types were identified,and three serological tests were conducted,including elution test,dissociation test,and direct antibody test.The detection results were analyzed,the detection rate of hemolytic disease by each serum detection method was counted,the blood group distribution was analyzed,and the value of serum detection was evaluated.Results In the serum test for hemolytic disease,44.8%were positive in the diffusion test,1.9%were positive in the direct antibody test,and 29.2%were positive in the free test.The release test had the highest detection rate,followed by the free test and direct antibody test,with statistical significance(P<0.05).Among the children with neonatal hemolytic disease,the proportion of type A and type B blood was the highest,and the difference was statistically significant(P<0.05).Conclusion The risk of hemolytic disease is high in newborns with hyperbilirubinemia.By conducting three serum tests,the detection rate of hemolytic diseases can be effectively improved,making it convenient for targeted treatment.Mastering the blood type distribution characteristics of hemolytic diseases can also provide more comprehensive monitoring.

hyperbilirubinemianewbornshemolytic diseaseserum testingrelease testdissociation testdirect resistance test

李晓君、曾坤权

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梅州市人民医院输血科,广东 梅州 514000

高胆红素血症 新生儿 溶血病 血清检测 放散试验 游离试验 直抗试验

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(6)
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