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題名 | Changing Position Does Not Improve the Efficacy of Conventional Phototherapy=改變姿勢不能加強傳統光照治療的效果 |
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作者 | 陳中明; 劉思慧; 賴建丞; 黃健吉; 許薰惠; | 書刊名 | 臺灣兒科醫學會雜誌 |
卷期 | 43:5 民91.09-10 |
頁次 | 頁255-258+300 |
分類號 | 417.517 |
關鍵詞 | 光照治療; 高膽紅素血症; 姿勢; Phototherapy; Hyperbilirubinemia; Posture; |
語文 | 英文(English) |
中文摘要 | 本研究的目的在比較固定及改變嬰兒姿勢對於光照治療黃膽效果的差異。我們把非溶血性黃疸健康足月兒,以隨機方法分爲兩組(1)不變換姿勢組及(2)每2小時較換姿勢組(平躺與俯臥互換),接受單一方向的光照治療。接受光照治療的條件爲血清中膽紅素值超過15mg/dl。當膽紅素下降至10mg/dl或以下時則停止光照治療。我們檢查開始治療前以及治療中每12小時的血清中總膽紅素值,直至治療結束爲止。膽紅素值下降的速度差以(1)第一個及第二個24小時膽紅素下降值以及(2)每小時膽紅素下降值來比較,兩組之間並沒有差別。光照治療結束後,膽紅素值回升數值在統計上可以被忽略地。而兩組嬰兒在接受光照治療後,並沒有需要再次接受治療的個案。我們的結論是在傳統單一方向的光照治療之下,每2小時改變嬰兒的姿勢並不能加強其效果。 |
英文摘要 | The aim of this study was to compare the efficacy of position-changing phototherapy with conventional fixed-position phototherapy. Clinically well, term infants with nonhemolytic hyperbilirubinemia were enrolled in the study. After entry into the study, infants were randomly assigned to receive single-direction phototherapy with or without changing from a supine to a prone position or vice versa every 2h. Phototherapy was initiated when the serum bilirubin concentration was greater than 15mg/dl and was discontinued when the bilirubin level had declined below 10mg/dl. Total serum bilirubin concentrations were measured just prior to initiation of phototherapy and at 12-h intervals until phototherapy was discontinued. The rate of bilirubin decline expressed by the first and secondary 24-h declines and overall bilirubin concentration decrease per hour were comparable between the two groups. The rebound in bilirubin levels after cessation of phototherapy was negligible, and none of the infants needed re-phototherapy. We conclude that changing an infant's position at 2-h intervals does not improve the efficacy of conventional single-direction phototherapy. |
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