ĐIỀU TRỊ VÀNG DA SƠ SINH BẰNG ÁNH SÁNG XANH VÀ MỘT SỐ GIẢI PHÁP PHÒNG BIẾN CHỨNG TRONG QUÁ TRÌNH ĐIỀU TRỊ

Abstract

Objectives: Describe the results of treatment of neonatal jaundice with blue light therapy and evaluate the effectiveness of some measures to prevent complications during treatment at Vinh University Hospital and Vinh City Hospital in 2022. Methods: A cross-sectional descriptive study with analysis. Result: The study was conducted with the participation of 149 neonates who were exposed to yellow light and evaluated the results of phototherapy and the effectiveness of some measures to prevent complications during treatment at the University of Medicine and Pharmacy Hospital and the City General Hospital. Vinh in 2022. Results: the rate of indirect bilirubin increase in jaundice in male/female newborns was 1.26/1; 89.9% of children found jaundice at home; The rate of general blood group incompatibility is 10.1%; The rate of irradiation in the early detection group in the first 48 hours after birth was 26.2% of the total number of children with early detection was 51.6%; 7.4% of children had side effects during phototherapy including 2% skin rash, 5.4% dehydration; 98.0% of children after irradiation stabilized and were discharged from the hospital; 2.0% of children showing symptoms of development were consulted and transferred to Nghe An Obstetrics and Pediatrics Hospital. The time of irradiation of TB in the group of children with mother-child blood group incompatibility was longer than that of the group without blood group incompatibility; Formula-fed infants had a longer average exposure time than those who were exclusively breastfed. Children with early jaundice have a longer average exposure time than late jaundice. Conclusion: Neonatal jaundice due to increased free bilirubin is related to the characteristics of bilirubin metabolism in the baby's body in the first days after birth. Along with the development of medical quality, mother's awareness is increasing day by day, newborn babies are detected and treated early, the level of jaundice is not too high and indirect bilirubin does not increase too fast, so most The children had good prognosis and were discharged from the hospital after a few days of light therapy treatment, the children developed completely normally without leaving any sequelae. Therefore, it is necessary to improve the knowledge, attitude and practice of handling, care and prevention of jaundice of mothers in the first 48 hours after birth.