Eggert P, Stick C, Swalve S
Universitäts-Kinderklinik, Kiel, Federal Republic of Germany.
Eur J Pediatr. 1988 Jun;147(5):525-8. doi: 10.1007/BF00441982.
The efficacy of various irradiation regimens in phototherapy of neonatal hyperbilirubinaemia was analysed. One hundred and one newborns were assigned to three groups at random. The best results were achieved when six special blue fluorescent lamps were used and the sides of the incubator were draped with white cloth to reflect the light diffusely. This simple measure increased the therapeutic effect by approx. 35%. Compared to standard phototherapy units equipped with fluorescent lights, a halide lamp was no more effective. The results of the clinical trial confirm the conclusions drawn from measurements, published previously. According to those findings, irradiating large areas of skin as homogeneously as possible should produce optimum results. Using a lamp with a large surface in combination with diffusely reflecting areas should best meet this requirement.
分析了各种照射方案在新生儿高胆红素血症光疗中的疗效。101名新生儿被随机分为三组。当使用六个特殊的蓝色荧光灯并在培养箱侧面铺上白布以漫反射光线时，可获得最佳效果。这一简单措施使治疗效果提高了约35%。与配备荧光灯的标准光疗设备相比，卤化物灯并无更好的效果。临床试验结果证实了先前发表的测量得出的结论。根据这些发现，尽可能均匀地照射大面积皮肤应能产生最佳效果。使用具有大表面的灯并结合漫反射区域应最能满足这一要求。
