相关实验视频
Updated: Jul 15, 2026

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Biochemical Measurement of Neonatal Hypoxia
Published on: August 24, 2011
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通过皮肤 bilirubinometry 检测黄在期限或晚期早产新生儿
Charles I Okwundu1, Vinod K Bhutani2, Olalekan A Uthman3
1Centre for Evidence-based Health Care, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
The Cochrane database of systematic reviews
|May 28, 2024
概括
与视觉检查相比,透皮胆红素 (TcB) 查可能会减少新生儿因黄而重新入院. 然而,它可能会在出院前增加光疗的使用,对严重并发症的影响不确定.
科学领域:
- 新生儿护理 新生儿护理
- 儿科查 儿科查 儿科查
- 公共卫生 公共卫生
背景情况:
- 全球新生儿 bilirubin 查是美国和加拿大的标准实践.
- 美国预防工作组质疑其在防止像kernicterus.com这样的严重结果方面的有效性.
研究的目的:
- 评估通过皮肤胆红素 (TcB) 查与视觉检查,以防止新生儿重新接受光疗.
主要方法:
- 进行了包括RCT和队列研究在内的系统审查.
- 在多个数据库 (CENTRAL,MEDLINE,Embase等) 进行了搜索. 在2023年6月之前.
- 使用固定效应模型和GRADE方法分析证据确定性的数据.
主要成果:
- 一个RCT (1858名新生儿) 显示TcB查可能会减少对高白血症的再入院 (中度确定性证据).
- TcB查可能会增加出院前的光疗使用 (中度确定性证据).
- 对交换输血和急性胆红素脑病变的影响是不确定的 (低确定性证据).
结论:
- TcB查可能会减少再入院,但可能会增加光疗的使用.
- 由于一个RCT的证据有限,需要进行进一步的研究.
- 查TcB可以帮助识别有风险的婴儿进行有针对性的随访.
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