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目的了解本地区新生儿黄疸的发生情况,及时干预高危新生儿,减少新生儿黄疸的发生率。方法对2009年3月—2011年3月兴化市妇幼保健院1 913名新生儿在出生第1、2、3、4、5天进行经皮胆红素测定,并按照2001年“新生儿黄疸干预推荐方案”进行干预。结果共筛查出新生儿黄疸168例,发生率为8.78%。其中157例给予口服酶诱导剂苯巴比妥、中药茵栀黄口服液、微生态制剂及蒙脱石散治疗,11例转诊至新生儿科进行光疗,均取得良好疗效,无一例脑损伤发生。结论在新生儿出生7天内定时监测新生儿胆红素水平,对高危儿及时进行干预,能有效预防新生儿黄疸的发生。
Objective To understand the incidence of neonatal jaundice in this region, timely intervention of high-risk neonates and reduce the incidence of neonatal jaundice. Methods From March 2009 to March 2011, 1 913 newborns in Xinghua MCH hospital were tested for transcutaneous bilirubin on the 1st, 2nd, 3rd, 4th and 5th day of birth, Jaundice intervention recommended program "to intervene. Results A total of 168 cases of neonatal jaundice were detected, the incidence was 8.78%. Among them, 157 cases were treated with phenobarbital, an oral enzyme inducer, Yinzhihuang Oral Liquid, probiotics and montmorillonite powder, and 11 cases were referred to the Neonatology Department for phototherapy. All achieved good results without any brain injury . Conclusion Regular monitoring of neonatal bilirubin levels within 7 days of birth and timely intervention of high-risk infants can effectively prevent neonatal jaundice.