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目的:探讨新生儿黄疸的血清学检测指标与效果。方法:选择2009年11月~2012年2月在我院住院分娩的新生儿350例,其中新生儿黄疸50例,非新生儿黄疸300例,2组新生儿在分娩后24小时与分娩后7天采集静脉血进行血清胆红素与甲胎蛋白测定。结果:黄疸组的在分娩后24小时与分娩后7天的血清胆红素与甲胎蛋白值都明显高于非黄疸组,差异有统计学意义(P<0.05)。结论:新生儿黄疸诊断的金标准为血清胆红素检测,甲胎蛋白水平可作为新生儿黄疸一个简单易行的预测指标,临床推广还有一个过程。
Objective: To explore the serological detection index and effect of neonatal jaundice. Methods: A total of 350 newborns hospitalized in our hospital from November 2009 to February 2012 were selected, including 50 cases of neonatal jaundice and 300 cases of non-neonatal jaundice. Neonates of 2 newborns at 24 hours after delivery and postpartum 7 Venous blood was collected for determination of serum bilirubin and alpha-fetoprotein. Results: The values of bilirubin and alpha-fetoprotein in jaundice group at 24 hours after delivery and 7 days after delivery were significantly higher than those in non-jaundice group (P <0.05). Conclusion: The gold standard for the diagnosis of neonatal jaundice is serum bilirubin. AFP level can be used as a simple and easy predictor of neonatal jaundice. There is still a course of clinical promotion.