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頁籤選單縮合
題名 | 應用經皮黃疸測試儀於新生兒黃疸之臨床檢定=The Clinical Diagnosis of Neonatal Jaundice by Transcutaneous Bilirubinometry |
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作 者 | 翁新惠; 陳淑貞; | 書刊名 | 榮總護理 |
卷期 | 13:1 1996.03[民85.03] |
頁次 | 頁70-77 |
分類號 | 417.509 |
關鍵詞 | 經皮黃疸測試儀; 新生兒黃疸; Transcutaneous bilirubinometry; TCB; Neonatal jaundice; |
語文 | 中文(Chinese) |
中文摘要 | 本研究是在探討一種利用光線折線方式的經皮黃疸測試儀(TCB)在臨床上之適用 性,以使護理人員能夠較客觀正確的評估新生兒黃疸。研究對象為某一級教學醫院嬰兒室的 新生兒,利用經皮黃疸測試儀和扎足跟血兩種方式來比較所測得黃疸值之準確性及相關性, 並將資料分成照光治療組、尚未照光組及全部混合三組來分析,結果44名新生兒共118次測 試發現:1.接受照光治療會影響TCB偵測黃疸值之準確性;2.在尚未接受照光情況下利用TCB 所測得之黃疸值和血清值兩者的平均值最為接近,相關性也較高,整體效益於前額部位為 73%、前胸部位為74.6%;3.當新生兒接受照光治療,會使得TCB值和血中值的相關性降低, 整體效益於前額部位為60%、前胸部位為45.5%;4.測試的部位以新生兒的前額部位及前胸 部位皆可。因此,此種測試儀只建議用在嬰兒室尚未接受照光的新生兒,作為評估黃疸的篩 檢工具。 |
英文摘要 | The purpose of this study is to determine whether the transcutaneous bilirubinometry (TCB) can replace heel stick to evaluate the neonatal jaundice. The data of this study was obtained from 44 new born babies who stayed in the nursery and were suspected of neonatal jaundice. Bilirubin was measured with TCB and serum. Data was compared by intraclass R test, mean, SD and percentage. The conclusions were: 1. In the group of babies who still did not receive phototherapy, the overall efficiency rate to diagnose significant jaundice requiring phototherapy was 73.0% (forehead) 74.6% (sternum). Data from the sternum with the TCB had good correlation with serum bilirubin r = 0.6 2. In the group of babies who were under phototherapy, the overall efficiency rate to diagnose significant jaundice requiring phototherapy was 60.0% (forehead) 45.5% (sternum), as well as correlation between TCB and serum bilirubin decreased to r = 0.2 (sternum), r = 0.4 (forehead). So, we suggest TCB can be a screening instrument for neonatal jaundice. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。