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[正常新生儿黄疸和胆红素血症严重程度的经皮测量]

[Transcutaneous measurement of the severity of icterus and bilirubinemia in normal neonates].

作者信息

Hodr R, Mandys F, Kepertová M

机构信息

Ustav pro péci o matku a dítĕ, Praha.

出版信息

Cesk Pediatr. 1990 Nov;45(11):655-8.

PMID:2092914
Abstract

Using a Minolta/Air Shields apparatus, the authors made 1040 transcutaneous estimations of the intensity of jaundice and examined at the same time the serum bilirubin in 603 normal mature neonates. They revealed a significant (P less than 0.001) correlation between the results of this estimation on the sternum and bilirubinaemia (r = 0.75). Based on the assessment of the 95% confidence limit of prediction of linear regression the authors defined and confirmed by statistical calculations for bilirubinaemia values of 200, 250 and 300 mumol/l four grades of intensity of jaundice. By the suggested procedure omission of early indication of laboratory examination and phototherapy is reduced to a minimum and conversely it is possible to avoid in some neonates collection of blood samples for laboratory examination.

摘要

作者使用美能达/空气屏蔽仪对603例正常足月新生儿进行了1040次经皮黄疸强度测定,并同时检测了血清胆红素。他们发现胸骨部位的该测定结果与胆红素血症之间存在显著相关性(P<0.001,r = 0.75)。基于线性回归预测的95%置信区间评估,作者通过统计计算确定并证实了针对200、250和300μmol/l胆红素血症值的四个黄疸强度等级。按照建议的程序,可将实验室检查和光疗的早期指征遗漏降至最低,反之,在一些新生儿中也可避免采集血样进行实验室检查。

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