Culley P, Powell J, Waterhouse J, Wood B
Br Med J. 1970 Aug 15;3(5719):383-6. doi: 10.1136/bmj.3.5719.383.
A total of 371 newborn infants falling into 3 groups, non-haemolytic jaundice, haemolytic jaundice, and non-jaundiced controls, have been reassessed in the 6th year of life as regards neurological, audiological, and psychological function. Neurological handicap was concentrated among the infants of low birth weight and was not related to jaundice, apart from one case of athetoid cerebral palsy with deafness. No other cases of perceptive deafness were discovered. Intelligence testing on the Stanford Binet scale showed no relation between depth of jaundice and I.Q.These findings support the majority of reports in the literature that reduction in intelligence does not occur in non-haemolytic jaundiced babies with serum bilirubin below about 20 mg./100 ml. In haemolytic jaundice slight doubt remains. There is no indication for changing present standards for exchange transfusion.
共有371名新生儿被分为三组:非溶血性黄疸组、溶血性黄疸组和无黄疸对照组。在这些婴儿6岁时,对其神经、听力和心理功能进行了重新评估。神经功能障碍集中在低体重婴儿中,除了一例伴有耳聋的手足徐动型脑瘫外,与黄疸无关。未发现其他感觉神经性耳聋病例。用斯坦福-比奈智力量表进行的智力测试表明,黄疸深度与智商之间没有关系。这些发现支持了文献中的大多数报告,即血清胆红素低于约20mg/100ml的非溶血性黄疸婴儿不会出现智力下降。对于溶血性黄疸,仍存在一些疑问。没有迹象表明需要改变目前的换血标准。