Gale R, Dranitzki Z, Dollberg S, Stevenson D K
Department of Neonatology, Bikur Cholim Hospital, Jerusalem, Israel.
J Perinatol. 1990 Sep;10(3):239-42.
The feasibility and efficacy of a fiberoptic blanket (Wallaby Phototherapy System) for the treatment of physiologic jaundice was compared with conventional phototherapy. Forty-two full-term infants with nonhemolytic jaundice were included in the study. Infants in the study group were treated with the fiberoptic blanket and the infants in the control group were placed under a standard phototherapy unit. Both the fiberoptic blanket and the standard phototherapy unit delivered an average irradiance of 7.0 +/- 0.5 muw/cm2/nm. Incremental changes in serial plasma bilirubin levels compared with the initial bilirubin concentration did not differ between the study and control groups. For infants whose initial plasma bilirubin concentration exceeded 200 mumol/L, a statistically significant difference was found in both study and control groups between the average bilirubin level at initiation of phototherapy and the average bilirubin level at termination of treatment. We conclude that phototherapy delivered by the fiberoptic blanket is safe and has efficacy comparable to that of conventional phototherapy, providing a convenient alternative phototherapy application strategy that obviates the need for eye patches and facilitates maternal handling of the infant during therapy.
将一种光纤毯（袋鼠光疗系统）用于治疗生理性黄疸的可行性和疗效与传统光疗进行了比较。42名足月非溶血性黄疸婴儿被纳入该研究。研究组婴儿采用光纤毯治疗，对照组婴儿置于标准光疗设备下。光纤毯和标准光疗设备的平均辐照度均为7.0±0.5μW/cm²/nm。研究组和对照组相比，系列血浆胆红素水平相对于初始胆红素浓度的增量变化并无差异。对于初始血浆胆红素浓度超过200μmol/L的婴儿，研究组和对照组在光疗开始时的平均胆红素水平与治疗结束时的平均胆红素水平之间均存在统计学显著差异。我们得出结论，光纤毯进行的光疗是安全的，其疗效与传统光疗相当，提供了一种方便的替代光疗应用策略，无需使用眼罩，并便于母亲在治疗期间照顾婴儿。
