Rosenfeld W, Twist P, Concepcion L
Department of Pediatrics, Winthrop-University Hospital, Mineola, NY 11501.
J Perinatol. 1990 Sep;10(3):243-8.
A new device for phototherapy consisting of a fiberoptic panel attached to an illuminator was compared with traditional phototherapy (4 special blue and 4 daylight bulbs). The panel surrounds the trunk eliminating eye patching and allowing more time for maternal-infant interaction. Forty-six jaundiced term neonates were studied. Two groups, nonhemolytic (n = 26) and hemolytic (ABO) (n = 20) jaundice, received fiberoptic or traditional phototherapy. In both groups, fiberoptic and control patients had similar weights, gestational ages, bilirubin levels and ages at entry. Post-therapy weights and duration of therapy were also similar. In the nonhemolytic fiberoptic group, there was a trend toward greater decreases in mean bilirubin levels at 12, 24, 36, and 60 hours with significant reduction at 48 hours of therapy (-2.8 vs -.5 mg/dL; P = .04). In the hemolytic group, bilirubin fell continuously in the fiberoptic group and after 36 hours in the traditional group. At 36 hours there was a trend toward a greater decrease in mean bilirubin for the fiberoptic group (-1.8 vs + 1.9 mg/dL; P = .08). There were no complications of therapy. The fiberoptic panel proved effective and safe; eliminated the need for eye patches; and permitted greater time for maternal-infant bonding.
一种新型光疗设备，由连接在照明器上的光纤面板组成，与传统光疗（4个特殊蓝光灯泡和4个日光灯泡）进行了比较。该面板环绕着婴儿躯干，无需眼罩，从而增加了母婴互动时间。对46名足月黄疸新生儿进行了研究。两组分别为非溶血性黄疸（n = 26）和溶血性（ABO）黄疸（n = 20），分别接受光纤光疗或传统光疗。两组中，接受光纤光疗和传统光疗的患儿在入组时体重、胎龄、胆红素水平及年龄均相似。治疗后的体重及治疗持续时间也相似。在非溶血性黄疸光纤光疗组中，在治疗12、24、36和60小时时，平均胆红素水平有更大幅度下降的趋势，在治疗48小时时显著下降（-2.8 vs -0.5 mg/dL；P = 0.04）。在溶血性黄疸组中，光纤光疗组胆红素持续下降，传统光疗组在36小时后胆红素下降。在36小时时，光纤光疗组平均胆红素下降幅度更大（-1.8 vs +1.9 mg/dL；P = 0.08）。治疗过程中无并发症发生。光纤面板被证明是有效且安全的；无需使用眼罩；并为母婴亲密接触留出了更多时间。
