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在评估黄疸新生儿血清总胆红素浓度方面,Bilistick系统与经皮胆红素测定法的比较。

Comparison between Bilistick System and transcutaneous bilirubin in assessing total bilirubin serum concentration in jaundiced newborns.

作者信息

Greco C, Iskander I F, Akmal D M, El Houchi S Z, Khairy D A, Bedogni G, Wennberg R P, Tiribelli C, Coda Zabetta C D

机构信息

Bilimetrix s.r.l., AREA Science Park, Trieste, Italy.

Department of Pediatrics, Cairo University Children Hospital, Cairo, Egypt.

出版信息

J Perinatol. 2017 Sep;37(9):1028-1031. doi: 10.1038/jp.2017.94. Epub 2017 Jun 15.

DOI:10.1038/jp.2017.94
PMID:28617429
Abstract

OBJECTIVE

To compare the performance and accuracy of the JM-103 transcutaneous bilirubinometer and Bilistick System in measuring total serum bilirubin for the early identification of neonatal hyperbilirubinemia.

STUDY DESIGN

The study was performed on 126 consecutive term and near-term (⩾36 weeks' gestational age) jaundiced newborns in Cairo University Children Hospital NICU, Egypt. Total serum bilirubin was assayed concurrently by the clinical laboratory and Bilistick System and estimated using the JM-103 transcutaneous bilirubin instrument. Bland-Altman analysis was used to evaluate the agreement between determinations.

RESULT

The limits of agreement of the Bilistick System (-5.8 to 3.3 mg dl) and JM-103 system (-5.4 to 6.0 mg dl) versus the clinical laboratory results were similar.

CONCLUSION

The Bilistick System is an accurate alternative to transcutaneous (TcB) determination for early diagnosis and proper management of the neonatal jaundice.

摘要

目的

比较JM - 103经皮胆红素仪和胆红素试纸系统在测量总血清胆红素以早期识别新生儿高胆红素血症方面的性能和准确性。

研究设计

该研究在埃及开罗大学儿童医院新生儿重症监护病房对126例连续的足月儿和近足月儿(胎龄≥36周)黄疸新生儿进行。临床实验室和胆红素试纸系统同时测定总血清胆红素,并使用JM - 103经皮胆红素仪进行估算。采用Bland - Altman分析评估测定结果之间的一致性。

结果

胆红素试纸系统(-5.8至3.3mg/dl)和JM - 103系统(-5.4至6.0mg/dl)与临床实验室结果的一致性界限相似。

结论

胆红素试纸系统是经皮(TcB)测定的准确替代方法,可用于新生儿黄疸的早期诊断和适当管理。

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Differences Between Transcutaneous and Serum Bilirubin Measurements in Black African Neonates.非洲黑人新生儿经皮胆红素与血清胆红素测量值的差异
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Accuracy of transcutaneous bilirubin measurement in newborns after phototherapy.
新生儿高胆红素血症的诊断方法:益处、局限性、要求及新进展
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EClinicalMedicine. 2018 Jul 17;1:14-20. doi: 10.1016/j.eclinm.2018.06.003. eCollection 2018 Jul.
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