- 期刊
Comparison of Conventional Phototherapy and Fiberoptic Phototherapy in the Very-Low-Body-Weight Infants
傳統式照光與新式光織照光對早産兒之影響
摘要
Phototherapy is effectively employed for the treatment of neonatal hyperbilirubinemia, but it may influence the physiological hemodynamics of the infants, such as skin blood flow, insensible water loss and the redistribution of cardiac output. This is a retrospective chart review study involved totally 42 very low birth weight prematures(birth body weight less than 1500gm, VLBW) who received conventional or fiberoptic phototherapy. Infants with congenital malformation, severe cardiorespiratory instability and the requirement of diuretics, mo tropics or blood transfusion were excluded. The body weight loss, daily intake/output and bilirubin level during the initial four days of phototherapy were analyzed. The results showed the efficacy of both methods was the same, while the fiberoptic therapy group had significantly more urine output (p＜0.05), the body weight loss was not statistically significant. it is possible that the fiberoptic therapy group had less insensible water loss and less attenuation of the decrease of renal blood flow, this resulted in more urine output.
並列摘要
Phototherapy is effectively employed for the treatment of neonatal hyperbilirubinemia, but it may influence the physiological hemodynamics of the infants, such as skin blood flow, insensible water loss and the redistribution of cardiac output. This is a retrospective chart review study involved totally 42 very low birth weight prematures(birth body weight less than 1500gm, VLBW) who received conventional or fiberoptic phototherapy. Infants with congenital malformation, severe cardiorespiratory instability and the requirement of diuretics, mo tropics or blood transfusion were excluded. The body weight loss, daily intake/output and bilirubin level during the initial four days of phototherapy were analyzed. The results showed the efficacy of both methods was the same, while the fiberoptic therapy group had significantly more urine output (p＜0.05), the body weight loss was not statistically significant. it is possible that the fiberoptic therapy group had less insensible water loss and less attenuation of the decrease of renal blood flow, this resulted in more urine output.
延伸閱讀
- 張和美、蔣立琦（2006）。運用Levine's Conservation Model於早產兒之護理經驗。榮總護理，23(4)，412-420。https://doi.org/10.6142/VGHN.23.4.412
- 林貞秀、張瑩如、林佳霓、黃美智（2012）。發展性照護於早產兒餵食之應用。護理雜誌，59(3)，107-112。https://doi.org/10.6224/JN.59.3.107
- 陳巧旻、林凱慧、蘇綉雅、林梅香、許菊玲（2014）。新生兒加護病房早產兒正確築巢擺位照護模式之改善專案。護理雜誌，61(2)，41-49。https://doi.org/10.6224/JN.61.2S.41
- 莊玲如、黃美智（2020）。發展性照護於早產兒視網膜病變檢查之臨床應用。護理雜誌，67(5)，82-88。https://doi.org/10.6224/JN.202010_67(5).11
- 游和祥、蘇逸欣、謝豐吉（2019）。磁振造影對比劑與新生兒早產之探討。臺灣醫事放射期刊，7(1)，1-6。https://doi.org/10.6717/JTMRT.201906_7(1).0001