摘要
目的：比较中西医结合与单纯西医治疗新生儿病理性黄疸的疗效。方法：将新生儿病理性黄疸９５例随机分为治疗组４９例和对照组４６例。治疗组采用蓝光照射、白蛋白静滴合茵陈蒿汤加减治疗。对照组采用蓝光照射、白蛋白静滴、激素和酶诱导剂治疗。结果：治疗组显效３９例，有效１０例，显效率７９．６％；对照组显效２７例，有效１９例，显效率５８．７％，２组比较有显著性差异（χ２＝４．８６，Ｐ＜０．０５）。平均退黄时间治疗组为（６．８７±１．２５）日，对照组为（８．９３±１．３６）日，２组显效率比较有显著性差异（ｔ＝１０．３０，Ｐ＜０．０１）。结论：中西医结合治疗新生儿病理性黄疸较单纯西医治疗更加有效、安全。
Objective:To compare the therapeutic efficacy of TCM WM and western medicine alone on infantile pathologic jaundice.Methods:Ninetyfive cases of infantile pathologic jaundice were divided randomly into treatment group (49 cases) and control group (46 cases).The treatment group was treated with bluelight irradiation,albumin intravenous drip and Yinchenhao Decoction;the control group was treated with bluelight irradiation,albumin intravenous drip,hormone and enzyme inducer.Results:In treatment group,39 cases were cured,10 cases were improved,the cured rate was 79 6%;in control group,27 cases were cured,19 cases were improved,the cured rate was 58 7%,there was obvious difference between 2 groups (χ 2=4 86, P <0 05);the mean time of clearing jaundice was (6 87±1 25) days and (8 93±1 36) days in treatment group and control group respectively,it was obvious difference between 2 groups ( t =10 30, P <0 01).Conclusions:Infantile pathologic jaundice treated with TCM WM is more effectiveness and safe than treated by western medicine alone;the TCM drugs can instead of enzyme inducer.
