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Macau Periodical Index (澳門期刊論文索引)
- Author
- Choi, MS; Ng, KK; Cheung, MY; Liu, HW; Tsang, SF
- Title
- Comparison of conventional overhead phototherapy and bilibed in the treatment of neonatal jaundice
- Journal Name
- 澳門醫學雜誌
- Pub. Info
- 2002年6月26日, Vol.2, No.1/2, pp. 20-23
- Keyword
- Neonae；Jaundice；Phototherapy
- Abstract
- Objective: To compare Bilibed phototherapy with conventional phototherapy using 6 overhead daylight fluorescence lamps with respect to the rate of fall in bilirubin, change in body weight and temperature, the time for nursing preparation and the preference of parents. Method: 20 Term baby with neonatal jaundice who fulfilled the inclusion criteria were randomized to receive either Bilibed or conventional phototherapy. The effects of both forms of phototherapy was assessed by regular monitoring of serum bilirubin level, body weight, body temperature and nursing preparation time for setting up both therapies at 0 hour. Parent's preference was assessed by questionnaire addressing convenience and personal choice. Results: 20neonates with age ranges from 37 to 42 gestational weeks were recruted. Nine and personal choice. Results 20 neonates with age ranges from 37 to 42 gestational weeks were recruited. Nine were treated with Bilibed and 11 with conventional therapy. The initial bilirubin level at 0 hour was similar between the Bilibed and conventional phototherapy. The mean rate of fall of bilirubin in the Bilibed arm was 1.71±0.98µgmol/1/hr and that of the conventional arm is 2. 30±0.79µgmol/1/hr. There was no statistical difference on the rate of fall of bilirubin between the two groups. The mean total therapy time of Bilibed arm was 40.20±14.78hours while that of conventional arm was 35.52±16.42hours. There was no difference statistically. The nursing time for setting up Bilibed at the beginning of phototherapu 6.67±3.54 minutes is significantly shorter than that of conventional phototherapy 20.45±8.13 minutes is. Conclusion : In our study, Bilibed was as effective as conventional phototherapy in reducing the serum bilirubin level and required less nursing time in the initial setup and less disruption of parental bonding. It was also the preferred treatment by parents. Paragraph Headings： 1. Methods 2. Introduction 3. Methods 4. Statistical analysis 5. Results 6. Discussion 7. Conclusions Tables： 1. Demographic data 2. Results collected in the study for both groups of patients 3. Comparison on daily cost between Bilibed and Conventional Therapy 4. Questionnaire on parental comments 5. Parent's comment on convenience of two therapies Figures： 1. Components of Bilibed: a romper suit (No.1), a glass pane (No.2), a blues light source (No.3) 2. Conventional phototherapy 3. Bilibed in use