首页|不同蓝光照射方式治疗新生儿高胆红素血症的疗效与安全性分析

不同蓝光照射方式治疗新生儿高胆红素血症的疗效与安全性分析

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目的 比较对高胆红素血症新生儿开展不同蓝光照射方式治疗的疗效及安全性.方法 108 例高胆红素血症新生儿,按照随机数字表法分为间歇组和连续组,每组 54 例.间歇组接受间歇性蓝光照射治疗,连续组接受连续蓝光照射治疗.比较两组患儿血清总胆红素水平、总光照时间、黄疸消退时间与住院时间、不良事件发生率.结果 治疗 48、96 h时,间歇组患儿的血清总胆红素水平分别为(211.29±20.19)、(112.18±10.23)μmol/L,均低于连续组的(245.81±19.98)、(143.19±9.98)μmol/L(P<0.05).两组患儿的黄疸消退时间、住院时间比较差异无显著性(P>0.05).间歇组患儿总光照时间为(3.02±0.51)d,显著短于连续组的(4.20±0.65)d(P<0.05).间歇组患儿不良事件发生率为 5.56%(3/54),低于连续组的 24.07%(13/54)(P<0.05).结论 对高胆红素血症新生儿实施间歇性蓝光照射治疗效果肯定,与连续蓝光照射治疗效果相当,但不良事件发生率显著更低,具有推广价值.
Analysis of the efficacy and safety of different blue light irradiation methods in the treatment of neonatal hyperbilirubinemia
Objective To compare the efficacy and safety of different blue light irradiation methods in the treatment of neonatal hyperbilirubinemia.Methods 108 cases of neonatal hyperbilirubinemia were divided into intermittent group and continuous group according to random number table method,each with 54 cases.The intermittent group received intermittent blue light irradiation,and the continuous group received continuous blue light irradiation.Both groups were compared in terms of serum total bilirubin levels,total lighting time,jaundice subsidence time,length of hospital stay,and incidence of adverse reactions.Results After 48 and 96 h of treatment,the serum total bilirubin levels in the intermittent group were(211.29±20.19)and(112.18±10.23)μmol/L,which were lower than(245.81±19.98)and(143.19±9.98)μmol/L in the continuous group(P<0.05).There was no significant difference in the jaundice subsidence time and length of hospital stay between the two groups(P>0.05).The total lighting time in the intermittent group was(3.02±0.51)d,which was significantly shorter than the continuous group's(4.20±0.65)d(P<0.05).The incidence of adverse events in the intermittent group was 5.56%(3/54),which was lower than the continuous group's 24.07%(13/54)(P<0.05).Conclusion In the treatment of neonates with hyperbilirubinemia,intermittent blue light irradiation is definitely effective and comparable to continuous blue light irradiation,but it has a significantly lower incidence rate of adverse reactions,which has the value of popularization.

Blue light irradiationHyperbilirubinemiaNeonatesLighting timeBilirubinSafety

陈燕红、林志成

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362200 福建省晋江市医院(上海六院福建医院)儿科

362261 晋江市安海医院新生儿科

蓝光照射 高胆红素血症 新生儿 光照时间 胆红素 安全性

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(10)