Tan K L
Department of Neonatology, National University Hospital, National University of Singapore.
Ann Acad Med Singap. 1993 Mar;22(2):225-8.
Phototherapy is now the standard form of treatment for infants with neonatal hyperbilirubinaemia. Though gradual in its effect, it finally produces a prolonged reduction in bilirubin values; retreatment with phototherapy is relatively rare. Factors that affect efficacy of phototherapy are: initial bilirubin level, birth weight, gestational age, postnatal age, aetiology of jaundice and light intensity and spectral emission. Phototherapy has now been demonstrated to be highly effective and safe; with simple precautions, no untoward side-effects will occur. The guidelines for commencement, monitoring and cessation of phototherapy are provided.
光疗现已成为新生儿高胆红素血症患儿的标准治疗方式。尽管其效果是渐进性的，但最终会使胆红素值持续下降；再次进行光疗的情况相对少见。影响光疗效果的因素包括：初始胆红素水平、出生体重、胎龄、生后年龄、黄疸病因以及光强度和光谱发射。现已证明光疗非常有效且安全；采取简单的预防措施，就不会出现不良副作用。文中还提供了光疗开始、监测及停止的指南。
