Author/Editor		Felc, Z
Title		Vpliv kontinuirane in intermitentne fototerapije na nespecifično hiperbilirubinemijo novorojencev
Type		monografija
Place		Ljubljana
Publisher		Medicinska fakulteta
Publication year		1995
Volume		str. 52
Language		slo
Abstract		On the basic of two randomly selected independent, clinically and statistically comparable groups of neonatal hyperbilirubinaemia the influence of two different regimens of phototherapy have been evaluated. Each group consisted of fifty full-term newborns with "physiological jaundice" differeing from one another only in receiving different regimens of phototherapy. Infants from group A received four hours of phototherapy folowed by four hours off, infants from group B underwent continuous phototherapy. Hyperbilirubianemia was defined as a serum bilirubin concentration greater than 204 micromol/1. Phototherapy was initiated above this level. Serum bilirubin concentrations were determinated at 24-hour intervals by the method of Jendrassik-Grofu modified by Nosslin. Phototherapy was administered by a bank of 7 daylight fluorescent lamps. Irradiance was measured with Air-Shields PR-L11 Radiometer, all infants were received 3,5 microW/cm2/nm in the blued region of the visible spectrum. With quantitative statistical analysis higher effectivness of intermittent phototherapy (group A) was evident. The chief advantage of intermittent treatment is the reduction of total irradiance-infants of group with intermittent phototherapy received only 72 percent of the irradiance given to those in group with continuous phototherapy. Furthermore, intermittent regimen is less dissruptive to the establishment of infant maternal bonding and breast feeding.
Descriptors		JAUNDICE, NEONATAL PHOTOTHERAPY BILIRUBIN INFANT, NEWBORN GESTATIONAL AGE BIRTH WEIGHT