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新生儿高胆红素血症的光疗——对新生儿潜在的环境健康危害:综述

Phototherapy for neonatal hyperbilirubinemia--a potential environmental health hazard to newborn infants: a review.

作者信息

Speck W T, Rosenkranz H S

出版信息

Environ Mutagen. 1979;1(4):321-36. doi: 10.1002/em.2860010404.

DOI:10.1002/em.2860010404
PMID:399916
Abstract

Phototherapy has been shown to be an effective therapy for severe neonatal jaundice. However, because of its seemingly innocuous effect on normal babies, this therapeutic modality has been widely used to prevent jaundice in circumstances where it may be neither necessary nor beneficial. The present report summarizes results which indicate that phototherapy is endowed with DNA-modifying properties and has therefore the potential for inducing genetic and carcinogenic effects. These disconcerting findings concerning the long-term hazardous consequences of an accepted therapeutic procedure require that the unique physiologic and pharmacologic characteristics of the newborn populations be recognized when assessing the risks and benefits of phototherapy.

摘要

光疗已被证明是治疗严重新生儿黄疸的有效疗法。然而,由于它对正常婴儿看似无害的影响,这种治疗方式在可能既无必要也无益处的情况下被广泛用于预防黄疸。本报告总结的结果表明,光疗具有DNA修饰特性,因此有可能诱发遗传和致癌效应。这些关于一种公认治疗程序长期有害后果的令人不安的发现要求,在评估光疗的风险和益处时,要认识到新生儿群体独特的生理和药理特征。

相似文献

1
Phototherapy for neonatal hyperbilirubinemia--a potential environmental health hazard to newborn infants: a review.新生儿高胆红素血症的光疗——对新生儿潜在的环境健康危害:综述
Environ Mutagen. 1979;1(4):321-36. doi: 10.1002/em.2860010404.
2
Bilirubin phototherapy and potential UVR hazards.胆红素光疗与潜在的紫外线辐射危害。
Health Phys. 1990 Mar;58(3):313-20. doi: 10.1097/00004032-199003000-00009.
3
Photodegradation of riboflavin in neonates.新生儿体内核黄素的光降解
Fed Proc. 1987 Apr;46(5):1883-5.
4
The side effects of phototherapy for neonatal jaundice: what do we know? What should we do?光疗治疗新生儿黄疸的副作用:我们了解多少?我们应该怎么做?
Eur J Pediatr. 2011 Oct;170(10):1247-55. doi: 10.1007/s00431-011-1454-1. Epub 2011 Apr 1.
5
[Prevention of riboflavin hypovitaminosis and a favorable therapeutic effect during phototherapy of neonatal hyperbilirubinemia].
Cesk Pediatr. 1986 May;41(5):271-4.
6
Reversible photoreduction of flavin with bilirubin I.
Acta Vitaminol Enzymol. 1981;3(3):182-7.
7
[Phototherapy: descriptions of photoproducts of bilirubin obtained in vitro and theories concerning the mechanism of action of the light in vivo].
Minerva Pediatr. 1972 May 26;24(19):800-16.
8
[Riboflavin hypovitaminosis in phototherapy of neonatal hyperbilirubinemia].[新生儿高胆红素血症光疗中的核黄素维生素缺乏症]
Cesk Pediatr. 1986 Apr;41(4):206-7.
9
Clinical rounds in the well-baby nursery: treating jaundiced newborns.健康婴儿护理室的临床查房:治疗黄疸新生儿
Pediatr Ann. 1995 Oct;24(10):547-52. doi: 10.3928/0090-4481-19951001-10.
10
[Acceleration of the therapeutic effect of light using riboflavin during phototherapy of neonatal hyperbilirubinemia].[在新生儿高胆红素血症光疗期间使用核黄素加速光疗效果]
Cesk Pediatr. 1977 Apr;32(4):224-5.

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"Light" on Phototherapy-Complications and Strategies for Shortening Its Duration, A Review of the Literature.光疗的“亮点”——并发症及缩短疗程的策略,文献综述
Children (Basel). 2023 Oct 17;10(10):1699. doi: 10.3390/children10101699.
2
Fetal and neonatal bilirubin metabolism.胎儿及新生儿胆红素代谢
Front Pediatr. 2023 Feb 7;10:1002408. doi: 10.3389/fped.2022.1002408. eCollection 2022.
3
Is neonatal phototherapy associated with a greater risk of childhood cancers?新生儿光疗是否会增加儿童癌症的风险?
BMC Pediatr. 2022 Jun 22;22(1):356. doi: 10.1186/s12887-022-03412-0.
4
Neonatal Phototherapy and Infantile Cancer.新生儿光疗与儿童癌症
Pediatrics. 2016 Jun;137(6). doi: 10.1542/peds.2015-1353.
5
Pathogen Reduction Technology Treatment of Platelets, Plasma and Whole Blood Using Riboflavin and UV Light.使用核黄素和紫外线光对血小板、血浆和全血进行病原体灭活技术处理
Transfus Med Hemother. 2011;38(1):8-18. doi: 10.1159/000324160. Epub 2011 Jan 31.
6
Pathogen inactivation of blood components: current status and introduction of an approach using riboflavin as a photosensitizer.血液成分的病原体灭活:现状及以核黄素作为光敏剂的方法介绍
Int J Hematol. 2002 Aug;76 Suppl 2:253-7. doi: 10.1007/BF03165125.