哪个更准确:通过皮肤测量额头上的胆红素还是胸骨上的胆红素?
Maryam Khoshnoud Shariati1, Naeeme Taslimi Taleghani1,2, Neda Izadi3
1Clinical Research Development Center, Mahdiyeh Educational Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Archives of Iranian medicine
|August 6, 2023
概括
胸骨上的皮肤过渡胆红素计 (TCB) 是比额头TCB更准确的评估新生儿黄的方法,特别是在光疗之前. 这一发现有助于确定门诊治疗的需要.
科学领域:
- 新生儿科学 新生儿科学
- 医疗器械 医疗器械
- 诊断的准确性 诊断的准确性
背景情况:
- 新生儿黄评估的非侵入性方法缺乏明确的准确性.
- 通过皮肤胆红素计 (TCB) 的最佳体位仍不清楚.
研究的目的:
- 为了比较视觉估计的准确性,新生儿的额头TCB和胸骨TCB.
- 确定新生儿黄评估中TCB最适合的身体部位.
主要方法:
- 一项涉及100名新生儿的横截面研究.
- 视觉估计,额头TCB和胸骨TCB的比较.
- 统计分析包括线性回归和对对 t 试验.
主要成果:
- 平均胆红素水平在不同方法 (临床,额头TCB,胸骨TCB) 中是相似的.
- 胸骨上的TCB在光疗之前更好地预测新生儿黄 (0.539对0.348).
结论:
- 在评估新生儿黄时,胸骨上的TCB比额头TCB更具预测性.
- 胸骨TCB在门诊环境中光疗前特别有价值.
更多相关视频
14:28Non-Invasive Monitoring of Microvascular Oxygenation and Reactive Hyperemia using Hybrid, Near-Infrared Diffuse Optical Spectroscopy for Critical Care
Published on: May 10, 2024
1.6K
06:50Diffuse Reflectance Spectroscopy: Getting the Capillary Refill Test Under One's Thumb
Published on: December 2, 2017
9.2K
相关概念视频
01:14Temperature Measurement Sites
1.8K
A thermometer measures body temperature. The common sites for measuring body temperature are the oral cavity, axillary region, temporal artery, and skin surface, such as the forehead, abdomen, and axilla. True core body temperature is assessed in the rectum, tympanic membrane, pulmonary artery, esophagus, and urinary bladder.
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
1.8K
01:19Assessing Body Temperature - Temporal Artery
586
Here is a stepwise guide to assessing the body temperature at the temporal artery using a temporal artery thermometer
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's...
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's...
586
01:27Assessing Body Temperature - Rectal
4.6K
Rectal temperature measurement is considered the most precise method for assessing core body temperature and typically registers higher than oral temperature. For adults, the rectal thermometer should be inserted 1 to 1.5 inches into the rectum to obtain the most accurate reading.
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
4.6K
01:21Sites for measruring blood pressure
1.9K
Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
The Brachial Artery: Primary Site for Blood Pressure Measurement
1.9K
01:23Assessment of blood pressure in brachial artery(two-step method)
758
Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
758
01:14Assessing Body Temperature - Axilla
614
Procedural Guide for Assessing Axillary Body Temperature using a Digital Thermometer:
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
614