Transcutaneous Bilirubinometry in Chinese Term Infants

中國成熟新生兒之經皮膚贍紅素測定器之使用

梁垠森(In-Sun Liang) ； 林注輝(Juh-Hui Lin) ； 陳森輝(Shen-Hui Chen) ； Donald V. Eitzman

《Acta Paediatrica Sinica》 24卷1期 (1983/03) Pp. 8-13

摘要

對75位中國成熟兒使用經皮膚膽紅素測定器量黃疸之結果，共儀器使用之再現率甚高（Coefficient of variation在0至4.19%之間），而個人檢查之偏差低（Coefficient of variation在0至5.13%之間）。以經皮膚膽紅素測定器(TcB)，在前額部測定之皮膚黃疸值與由美國光學儀器公司膽紅素測定器(AO Bilirubinometer)之測定值，及由Evelyn-Malloy法測定之血清總膽紅素值有相當高之相關關係（γ=0.86及γ=0.94）。此測定器，雖然在光線治療及換血治療時之使用效果不好，但平常可用以篩檢黃疸之用。

並列摘要

The transcutaneous bilirubinometer (TcB) was evaluated in 75 Chinese term newborns. The reproducibility of the instrument was determined after trials with 10 repetitions in 10 newborns whose total serum bilirubin was between 2.8mg/dl and 22.2mg/dl. The individual difference was also determined in the above 10 newborns by four different individuals: two doctors and two registered nurses The coefficient of variation of reproducibility ranged from a low of 0% to a high of 4.19%, The coefficient of variation of individual difference ranged from a low of 0% to a high of 5.13%. The coefficient of correlation beween TcB reading on the forehead and total serum bilirubin concentration measured by American optical bilirubinometer was 0.86. The coefficient of correlation between TcB reading on the ford cad and total serum bilirubin concentration measured by Evelyn-Malloy method was 0.94. Although the values obtained during photoiherapy or postexchange stage do not correlate well with total serum bilirubin measurement transcutaneous bilirubinometer can be used is a screening device prior to the use of phototherapy or exchange transfusicn.

並列關鍵字

transcutaneous bilirubinometer ； newborn