简体中文

·腹部疾病·

蓝光治疗新生儿黄疸的临床效果分析

作者:江 星

所属单位:深圳市南山区西丽人民医院儿科 (广东 深圳 518000)

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摘要

目的 探讨新生儿黄疸采取蓝光照射治疗的临床效果及安全性分析。方法 选择我院2014年1月至2015年1月收治的 250例新生儿黄疸患儿为研究对象,随机分为对照组125例,采取常规药物治疗方案控制病情,观察组125例实施 蓝光照射方案治疗,对两组患者治疗后效果进行分析。结果 观察组经治疗后的总有效率为90.40%,明显较对照 组70.40%高,存在统计学意义(P<0.05);对两组患儿治疗后不良反应发生率比较,观察组不良反应发生率为 4.00%,对照组4.80%,差异无统计学意义(P>0.05);结论 新生儿黄疸采取蓝光治疗的安全性高,可有效控制黄 疸发展,减轻患儿痛苦,对改善患儿预后具有积极意义,值得临床推广。

Objective To study the clinical effect and safety analysis of blue light in the treatment of neonatal jaundice. Methods From Jan. 2014 to Jan. 2015, a total of 250 neonates with jaundice in our hospital were taken as the clinical research objects, and they were randomly divided into control group (125 cases) and observation group (125 cases). Patients in the control group were given conventional drugs, the other patients in the observation group were given blue light therapy, their clinical effects were compared and analyzed after treatment. Results The total effective rate in the observation group was 90.40% which was obviously higher than that in the control group 70.40%, and their difference was statistically significant(P<0.05), the incidence rate of adverse reactions in the observation group was 4.00% which was lower than that in the control group 4.80%, but their difference was not statistically significant (P>0.05). Conclusion Blue light therapy, which has higher safety in the treatment of jaundice, can not only effectively control the development of jaundice and reduce the suffering of neonates, but also improve the prognosis of neonates with positive significance. Thus, it is worthy of clinical promotion.

【关键词】黄疸;蓝光疗法;疗效

【中图分类号】R256.41

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2016.06.018

前言

黄疸是新生儿常见疾病,会对新生儿身体健康造 成严重影响,随着病情发展,会形成粘膜、皮肤等出 现黄染症状,若未及时采取措施控制病情发展,实施 科学治疗,则可能引发新生儿神经系统病变,影响患 者预后,发育受限,甚至可能导致新生儿死亡。以往 主要采取药物治疗,但是新生儿消化系统尚未完全发 育,口服药物的喂药难度大,且难以取得满意效果。 有学者提出[1],对新生儿黄疸患儿实施蓝光疗法治疗 可快速控制病情发展,且安全性高,能作为新生儿黄 疸的首选治疗方案。本组研究对新生儿黄疸患儿实施 蓝光治疗,现进行如下报道。