Brown L P, Arnold L, Allison D, Klein M E, Jacobsen B
School of Nursing, University of Pennsylvania, Philadelphia.
Nurs Res. 1993 Mar-Apr;42(2):106-10.
The incidence and pattern of jaundice in 155 normal, full-term, breast-fed, white infants was examined. Infants were screened for jaundice on Days 2, 3, 5, 7, 9, 11, and 13 following birth using transcutaneous bilirubinometry (TcB). By Day 3, 49.7% of the infants were classified as jaundiced (> 10 mg/dl). Infants with low TcB indices on Days 2, 3, and 5 never developed jaundice as indicated by elevated TcB indices on Days 7, 9, 11, and 13. Hence, it may be possible to target infants at risk for severe jaundice prior to discharge. The observed rate of 10.3% for breast-milk jaundice (jaundice present at Day 13) is significantly higher than the highest reported rate of 2.4% (z = 6.43, p < .01). Furthermore, the pattern of jaundice in these infants does not appear to have two peaks, indicating that it is not possible to distinguish between exaggerated physiologic jaundice and breast-milk jaundice using TcB.
对155名正常、足月、母乳喂养的白人婴儿的黄疸发病率和模式进行了检查。在出生后的第2、3、5、7、9、11和13天，使用经皮胆红素测定法（TcB）对婴儿进行黄疸筛查。到第3天，49.7%的婴儿被归类为黄疸（>10mg/dl）。在第2、3和5天TcB指数较低的婴儿，在第7、9、11和13天并没有出现TcB指数升高所表明的黄疸。因此，在出院前有可能针对有严重黄疸风险的婴儿。观察到的母乳性黄疸发生率为10.3%（第13天出现黄疸），明显高于报告的最高发生率2.4%（z = 6.43，p <.01）。此外，这些婴儿黄疸的模式似乎没有两个峰值，这表明使用TcB无法区分过度生理性黄疸和母乳性黄疸。
