论文部分内容阅读
对191例足月新生儿于生后(0~4小时),24±4小时,48±4小时,72±4小时进行经皮测胆红素(CcB)监测,72±4小时测定微量血胆红素SB)。结果显示除TcBo外,TcB24,TcB24-0/BW,TcB48与TcB72。及MSB72相关,呈显著及极显著性。按MSB72>205.2μmol/L和≤205.2μmol/L将191例新生儿分为两组,两组间除TcBo外,TcB24,TcB24-0/BW,TcB48差异有显著性。提示用TcB预测生后72小时是否发生高胆是可能的。通过对预测标准TcB24≥11;TcB48≥14;TcB24-0/BW≥1.2的敏感度、特异度、阳性及阴性预测值,粗一致性的计算,认为此三项标准预测新生儿高胆可靠。对筛选阴性者同时不漏掉血清胆红素较高者,临床意义较大。
Ninety-one full-term newborns were tested for percutaneous measurement of bilirubin (CcB) at 72 hours after birth (0-4 hours), 24 ± 4 hours, 48 ± 4 hours and 72 ± 4 hours, Bilirubin SB). The results showed TcB24, TcB24-0 / BW, TcB48 and TcB72 in addition to TcBo. And MSB72 related, was significant and extremely significant. 191 newborns were divided into two groups according to MSB72> 205.2μmol / L and ≤205.2μmol / L. There were significant differences in TcB24, TcB24-0 / BW and TcB48 between the two groups except TcBo. Tip TcB 72 hours after birth, it is possible to predict the occurrence of high gallbladder. The sensitivity, specificity, positive and negative predictive value, crude consistency of the predictive criteria TcB24≥11; TcB48≥14; TcB24-0 / BW≥1.2, reliable. On screening negative at the same time do not miss the higher serum bilirubin, clinical significance.