间歇或持续蓝光照射治疗新生儿黄疸的临床疗效对比

李登瑞

（靖边县妇幼保健院儿科，陕西 榆林，718500）

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摘要：

目的 对比间歇蓝光照射和持续蓝光照射治疗新生儿黄疸的临床疗效。方法 选取我院就诊的新生儿黄疸60例，随机分为观察组（间歇蓝光照射）和对照组（持续蓝光照射），各30 例，对比两组患儿临床疗效。结果 观察组患儿痊愈23例，有效 6例，无效1例；对照组痊愈22例，有效6例，无效2例；观察组总有效率为96.67%与对照组的93.33%比较，差异无统计学意义（P>0.05）。两组患儿治疗后总胆红素、直接胆红素水平均明显低于治疗前（P<0.05）；但治疗后两组患儿总胆红素、直接胆红素浓度比较，差异无统计学意义（P>0.05）。观察组不良反应总发生率为16.67%明显低于对照组的50.00%（P<0.05）。结论 间歇蓝光照射和持续蓝光照射治疗新生儿黄疸的临床疗效相当，但间歇蓝光照射的不良反应较少。

关键词：新生儿黄疸；间歇蓝光照射；持续蓝光照射

中图分类号：R722.17文献标志码：A文章编号：2096-1413(2016)24-0144-02

Comparison of clinical effects of intermittent and continuous blue light irradiation in the treatment of neonatal jaundice
LI Deng-Rui
(Department of Pediatrics, Maternal and Child Health Care Hospital of Jingbian County, Yulin 718500, China)

ABSTRACT: Objective To compare the clinical curative effect of intermittent and continuous blue light irradiation in the treatment of neonatal jaundice. Methods Sixty cases of neonatal jaundice in our hospital were selected and randomly divided into observation group (intermittent blue light irradiation) and control group (continuous blue light irradiation), with 30 cases in each group, the clinical efficacy of the two groups were compared. Results The cured, effective and ineffective cases in observation and control group were 23, 6, 1 and 22, 6, 2 respectively, the total effective rate of observation group (96.67%) and control group (93.33%) were compared, the difference was not statistically significant (P>0.05). After treatment, the total bilirubinand and direct bilirubin levels of the two groups were significantly lower than those of before treatment (P<0.05), but there were no significant differences in the total bilirubin and direct bilirubin concentration between the two groups after treatment (P>0.05). The total adverse reaction rate of the observation group (16.67%) was significantly lower than that of control group (50.00%) (P<0.05). Conclusion The clinical efficacy of intermittent and continuous blue light irradiation in the treatment of neonatal jaundice is equivalent. The intermittent blue light irradiation has fewer adverse effect.

KEYWORDS: neonatal jaundice; intermittent blue light treatment; continuous blue light treatment

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