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目的:探讨儿科采取间断性蓝光照射治疗的可行性与价值。方法:将我院接诊的实施蓝光照射治疗的新生儿黄疸80例作为研究对象,随机均分为2组,各40例。研究组采取间断性蓝光照射治疗,而对照组采取持续性蓝光照射治疗。观察记录两组患儿治疗前后血清胆红素水平,以及腹泻与皮疹发生率,并对比分析。结果:两组患儿治疗后血清胆红素均有显著下降(P<0.05),治疗后组间对比无显著性差异(P>0.05);研究组腹泻发生率与皮疹发生率均显著低于对照组(P<0.05)。结论:儿科新生儿黄疸采取间断性蓝光照射治疗可取得与持续性照射治疗相同的效果,但前者安全性更高,值得借鉴。
Objective: To investigate the feasibility and value of intermittent blue light therapy in pediatrics. Methods: Eighty cases of neonatal jaundice treated with blue light irradiation in our hospital were randomly divided into two groups (n = 40 in each group). The study group took intermittent blue light irradiation, while the control group took continuous blue light irradiation. The level of serum bilirubin and the incidence of diarrhea and rash in both groups were observed and compared before and after treatment. Results: Serum bilirubin was significantly decreased in both groups after treatment (P <0.05), but there was no significant difference between the two groups after treatment (P> 0.05). The incidence of diarrhea and rash in study group were significantly lower than those in study group Control group (P <0.05). Conclusion: Intermittent blue light irradiation for pediatric neonatal jaundice can achieve the same effect as continuous irradiation, but the former is safer and worth learning from.