自然光疗对预防早产儿黄疸发生的临床观察

首都医科大学学报 ›› 2011, Vol. 32 ›› Issue (1): 146-148.

自然光疗对预防早产儿黄疸发生的临床观察

陈升平¹，王凤英²，刘凤玲²

1. 北京世纪坛医院妇产科； 2. 首都医科大学宣武医院妇产科

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2011-02-21 发布日期:2011-02-21

Effect of Natural Light Therapy on the Prevention ofJaundice in Premature Infants

CHEN Sheng-ping¹, WANG Feng-ying², LIU Feng-ling²

1. Department of Gynaevology and Obsterics, Beijing Shijitan Hospital; 2. Department of Gynaevology and Obsterics, Xuanwu Hospital, Capital Medical University

Received:1900-01-01 Revised:1900-01-01 Online:2011-02-21 Published:2011-02-21

摘要/Abstract

摘要：

目的观察自然光照射对预防早产儿黄疸发生的临床疗效。
方法对72例早产儿除外溶血、窒息、感染和极低体质量儿随机分成2组，2组均有常规的保暖、喂养和监测血糖，对照组无治疗；治疗组自然光照射每天1次，每次3 h，连续3 d。2组每天进行经皮测胆红素值。
结果 2组每天进行经皮测胆红素值测定在自然光照射0、1、2、3 h和自然光照射结束后4 h，不同天但同一时间段经自然光照射的早产儿比较差异有统计学意义(P<0.05)，同一天不同的时间段经自然光照射的早产儿随着时间的变化比较差异有统计学意义(P<0.05)，但是治疗结束后4 h与同一天、0、2、3 h比较差异有统计学意义(P<0.05)，与同一天1 h比较差异无统计学意义(P＞0.05)；治疗组和对照组在同一时间段经皮测胆红素数值的比较差异有统计学意义(P<0.05)。
结论对早产儿进行早期干预，对预防和降低早产儿黄疸的发生有积极意义。

关键词: 早产儿, 黄疸, 干预性研究

Abstract:

Objective To observe the clinical effect of natural light therapy on the prevention of jaundice in preterm infants.
Methods Totally 72 premature infants in whom hemolysis, asphyxia, infections and very low birth weight were excluded were randomly divided into two. Both groups were given regular warming, feeding and monitoring of blood glucose level. The infants in the control group were not given any other treatment; while infants in the other group(natural light treatment group) were treated with natural light every 3 hours for 3 days. The bilirubin levels were measured by a transdermal method.
Results The transdermal bilirubin level of the natural light treatment group was significantly lower than that of the control group on days 2, 3 and 4(P<0.05).
Conclusion The natural light treatment as an early intervention may have positive effect in prevention and reduction of jaundice in preterm infants.

Key words: premature infants, jaundice, intervention studies

中图分类号:

R 722

陈升平;王凤英;刘凤玲. 自然光疗对预防早产儿黄疸发生的临床观察[J]. 首都医科大学学报, 2011, 32(1): 146-148.

CHEN Sheng-ping;WANG Feng-ying;LIU Feng-ling. Effect of Natural Light Therapy on the Prevention ofJaundice in Premature Infants[J]. Journal of Capital Medical University, 2011, 32(1): 146-148.

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