Vecchi C, Donzelli G P, Sbrana G, Pratesi R
J Pediatr. 1986 Mar;108(3):452-6. doi: 10.1016/s0022-3476(86)80895-2.
The relative efficacy of fluorescent green (Sylvania F20T12/G) and "special" blue (Westinghouse F20T12/BB) lamps in the phototherapy of jaundiced neonates was investigated. Two groups of low birth weight infants with a mean gestational age of 35 weeks and mean birth weight of 1930 gm, who developed hyperbilirubinemia within the first 5 days of life, were given green or blue lamp phototherapy under the same irradiation conditions. No statistically significant difference in plasma bilirubin concentrations was found between the two groups after 24 or 48 hours of treatment. Because recent measurements indicate that green lamps are much less efficient than special blue lamps for the production of Z, E isomers of bilirubin in vitro and in vivo, the clinical equivalence of these two types of lamps seems to support the hypothesis that production of structural photoisomers of bilirubin is the main mechanism of phototherapy in humans. Therefore, fluorescent green lamps provide an alternative to special blue lamps for treatment of neonatal hyperbilirubinemia.
研究了荧光绿（sylvania F20T12/G）灯和“特殊”蓝（西屋F20T12/BB）灯在新生儿黄疸光疗中的相对疗效。两组平均胎龄35周、平均出生体重1930克的低出生体重婴儿，在出生后5天内出现高胆红素血症，在相同照射条件下接受绿灯或蓝灯光疗。治疗24或48小时后，两组血浆胆红素浓度无统计学显著差异。由于最近的测量表明，绿灯在体外和体内产生胆红素Z、E异构体的效率远低于特殊蓝灯，这两种灯在临床上的等效性似乎支持了胆红素结构光异构体的产生是人类光疗主要机制的假说。因此，荧光绿灯为治疗新生儿高胆红素血症提供了特殊蓝灯的替代选择。
