Yeliz GENÇ, İbrahim Hakan BUCAK, Habip ALMİŞ, Mehmet TURĞUT

Yenidoğan Sarılık Ölçüm Yöntemleri ile Felix von Luschan Deri Rengi Skalasının Karşılaştırılması

Amaç: Bu çalışmanın amacı invaziv neonatal sarılık ölçüm yöntemleri (venöz kandan toplam bilirubin, kan gazındaki toplam bilirubin ve topuktan mikrokapiller neonatal bilirubin) ile invaziv olmayan Felix von Luschan Deri Rengi Skalasını karşılaştırmak. Gereç ve Yöntemler: Bu çalışma, Adıyaman Üniversitesi Eğitim ve Araştırma Hastanesi, yenidoğan yoğun bakım ünitesine sarılık nedeniyle başvuran 110 yenidoğan üzerinde gerçekleştirildi. İnvaziv olmayan Felix von Luschan Deri Rengi Skalası diğer invaziv yenidoğan sarılık ölçüm yöntemleriyle karşılaştırıldı. Bulgular: Felix von Luschan deri renk skalası testinin diğer tanı yöntemleri ile anlamlı bir ilişkisi olduğu (p <0.001) ve bu hastalık tanısında yararlı olduğu bulunmuştur. Sonuç: Yenidoğan sarılıklarının zamanında teşhis ve tedavisi, akut bilirubin ensefalopatisini ve kernikterusu önlemek için gereklidir. Felix von Luschan ten rengi testi, güvenilir, hızlı ve ucuz bir yöntem olan, invaziv olmayan bir yöntemdir. Bu yöntem yenidoğan sarılığı tanısı için kullanılabilir.

Anahtar Kelimeler:

Felix von Luschan Deri Rengi Skalası, yenidoğan sarılığı, non-invaziv, Bilirubin

A comparison between the Felix von Luschan Skin Color Scale Test and Invasive Neonatal Jaundice Measurement Methods

Objective: This study aimed to compare invasive neonatal jaundice measurement methods (total bilirubin from venous blood, total bilirubin in blood gas, and microcapillary neonatal bilirubin from the heel) with the non-invasive Felix von Luschan skin color scale test. Material and Methods: The study was performed on 110 newborns admitted to the neonatal intensive care unit of Adiyaman University Training and Research Hospital, Turkey, because of jaundice. The non-invasive Felix von Luschan skin color scale test was compared with other, more invasive neonatal jaundice measurement methods. Results: The Felix von Luschan skin color scale test was found to have a significant relationship with other diagnostic methods (p<0.001) and deemed practical for the diagnosis of this disease. Conclusion: The timely diagnosis and management of neonatal jaundice are essential to prevent acute bilirubin encephalopathy and kernicterus. The Felix von Luschan skin color scale test is a non-invasive method that is reliable, fast and inexpensive. This method can be used for the diagnosis of neonatal jaundice.

Keywords:

Felix von Luschan Skin Color Scale, neonatal jaundice, non-invasive, Bilirubin,

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