Grabert B E, Wardwell C, Harburg S K
Clin Pediatr (Phila). 1986 Jun;25(6):291-4. doi: 10.1177/000992288602500601.
Hyperbilirubinemia in the healthy, term neonate is the most common reason for prolonged hospitalization. Expense, separation from a nursing mother, imparting a sense of illness to the infant, and disrupting such processes as "bonding" are all drawbacks to in-hospital phototherapy. Home Phototherapy Associates in Colorado Springs, Colorado has treated 260 newborns from April 1982 to February 1985. The infants treated by home phototherapy averaged 0.81 days of hospital phototherapy before being discharged to home phototherapy for an average of 2.44 days. Average bilirubin on entry into home phototherapy was 14.19 mg/dl and 10.97 mg/dl when discontinued. The average age upon entering home phototherapy was 3.97 days. Home phototherapy was ordered at the discretion of the private physician. Parents were given verbal and written instructions on care of the jaundiced newborn, kept a record of their baby's progress and signed a consent form. There have been no complications in 260 newborns treated at home. There were 17 rehospitalizations. Home phototherapy is an effective and safe alternative to prolonged hospitalization for the healthy, full-term newborn with jaundice. Parental satisfaction has been nearly 100 percent. The average daily decrement in bilirubin is comparable with that reported by others for in-hospital phototherapy. The cost savings, uninterrupted "bonding" process, and the ability to keep mother and child united are some of the observable benefits.
健康足月儿高胆红素血症是导致住院时间延长的最常见原因。住院光疗存在费用高、婴儿与哺乳母亲分离、使婴儿产生患病感以及干扰诸如“母婴联结”等过程的缺点。科罗拉多州科泉市的家庭光疗协会在1982年4月至1985年2月期间治疗了260名新生儿。接受家庭光疗的婴儿在出院接受家庭光疗前平均接受了0.81天的住院光疗，家庭光疗平均持续2.44天。开始家庭光疗时的平均胆红素水平为14.19mg/dl，停止时为10.97mg/dl。开始家庭光疗时的平均年龄为3.97天。家庭光疗由私人医生酌情安排。向父母提供了关于黄疸新生儿护理的口头和书面指导，让他们记录婴儿的进展情况并签署同意书。260名在家接受治疗的新生儿没有出现并发症。有17名婴儿再次住院。对于健康的足月黄疸新生儿，家庭光疗是替代延长住院时间的一种有效且安全的方法。父母满意度接近100%。胆红素的平均每日下降幅度与其他人报告的住院光疗情况相当。节省费用、不间断的“母婴联结”过程以及使母婴保持在一起的能力是一些明显的益处。
