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目的:探讨早期群体干预新生儿黄疸的效果。方法:通过计划生育技术服务网络,对农村生育妇女进行血型筛查、高危对象监护、血清抗体(抗A、抗B、抗D等)效价检测、B超监护等干预措施,在产后随诊中采用目测皮肤黄疸、新生儿血型鉴定、经皮测定胆红素等技术措施,动态观察和监测新生儿黄疸的发生发展,及时阻断核黄疸的发生。结果:干预方法可行,技术有效,成本低,可接受性强,惠及5万多名农村生育妇女,并成功救治91例以新生儿溶血症(HDN)为主的黄疸患儿。结论:将“早期群体干预新生儿黄疸”纳入计划生育优质服务及出生缺陷干预工程,对提高广大农村出生人口素质,保护新生儿生命健康有极大地现实意义。
Objective: To investigate the effect of early intervention on neonatal jaundice. Methods: Through the family planning technical service network, the blood fertility screening, high-risk object monitoring, serum antibody (anti-A, anti-B, anti-D, etc.) In the use of visual skin jaundice, neonatal blood type identification, percutaneous determination of bilirubin and other technical measures to dynamically observe and monitor the occurrence and development of neonatal jaundice, and timely block the occurrence of nuclear jaundice. Results: Intervention method was feasible, technically effective, low cost and acceptable. It benefited over 50,000 rural women and successfully treated 91 cases of neonatal jaundice with hemolytic disease (HDN). CONCLUSION: Incorporating “early intervention group of neonatal jaundice ” into the family planning service and birth defects intervention project is of great practical significance to improve the quality of population born in rural areas and protect the life and health of newborn.