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来源:百度知道 编辑:UC知道 时间:2024/06/08 04:47:12
Transcutaneous bilirubinometry reduces the need for blood sampling in neonates with visible jaundice.

Abstract Objectives: We determined usefulness of transcutaneous bilirubinometry to decrease the need for blood sampling to assay serum total bilirubin (STB) in the management of jaundiced healthy Indian neonates. Methods: Newborns, >/=35 weeks' gestation, with clinical evidence of jaundice were enrolled in an institutional approved randomized clinical trial. The severity of hyperbilirubinaemia was determined by two non-invasive methods: i) protocol-based visual assessment of bilirubin (VaB) and ii) transcutaneous bilirubin (TcB) determination (BiliCheck((R))). By a random allocation, either method was used to decide the need for blood sampling, which was defined to be present if assessed STB by allocated method exceeded 80% of hour-specific threshold values for phototherapy (2004 AAP Guidelines). Results: A total of 617 neonates were randomized to either TcB (n = 314)

Transcutaneous bilirubinometry减少需要采血在新生儿可见黄疸。

摘要目的:我们决定降低transcutaneous有用的bilirubinometry需要血液抽样化验血清总胆红素(STB)管理的印度新生儿健康歪曲。方法:新生儿,>(= 35周发现,与临床证据被纳入黄疸机构批准的随机临床试验。hyperbilirubinaemia急症的严重性决定了两个非侵入性的方法:我)protocol-based视觉的评估VaB)及二世胆红素(TcB)transcutaneous胆红素(BiliCheck)测定(((R))。通过随机分配,任何一种方法被用来决定需要血液采样,它被定义成为目前被分配的方法评估是否数字机顶盒阈值超过了80%的hour-specific为光疗(2004年AAP指南)。结果:617例新生儿随机地分成两组,要么TcB(n = 314)或VaB(n = 303)团体类似,出生体重和产后的年龄。血液抽样化验所需要的设备有34%低(95%可信区间:10%到51%)相比VaB TcB集团(17.5%和26.4%评估风险的差别:-8.9%;95%可信区间:-2.4%,对-15.4%;p =起跑)。结论:常规使用transcutaneous bilirubinometry比较系统的视觉评价胆红素显著降低需要血液抽样化验设备,late-preterm歪曲的新生儿。NCT006538期

经皮bilirubinometry减少了在可见的新生儿黄疸采血的需要。

摘要目的:我们确定经皮bilirubinometry作用,以减少对血清样品测定在新生儿黄疸的健康管理,印度总胆红素(机顶盒)血液的需要。方法:新生儿,“/ = 35孕周与黄疸的临床证据,是在体制批准的随机临床试验注册。在高胆红素血症的严重程度取决于两个非侵入性的方法:1)协议为基础的视觉评估胆红素(VaB)和ii)经皮胆红素(TCB)的决定(BiliCheck((R))的)。通过随机分配,采用两种方法来决定提供血液样本,这是目前被定义为,如果评估分配方法机顶盒需要超过80%的时间用于光线(2004年儿科学准则的具体阈值)。结果:617新生儿共被随机分在胆红素(不适用= 314)或VaB(不适用= 303)与可比妊娠,出