摘要
目的降低ABO溶血性黄疸。方法对"O"型血的母亲,分娩后常规检查脐血血型,选择脐血为A和B型新生儿49例,分为两组。实验组23例,生后即刻给苯巴比妥钠口服治疗,发现皮肤发黄后给中药退黄汤口服治疗;对照组26例不给任何药物;两组新生儿黄疸超过生理性范围给予综合治疗,包括蓝光照射等。结果①两组新生儿治疗前血清胆红素值无显著性差异(P>0.05),而综合治疗24小时及48小时后两组血清胆红素有显著性差异(P<0.05,P<0.01);②两组蓝光照射时间及黄疸消退时间有显著性差异(P<0.05,P<0.01)。结论早期应用苯巴比妥钠及中药退黄汤可降低血清胆红素峰值,避免了换血治疗,缩短了疗程。
Objective To reduce ABO blood type hemocytic jaundice. Methodhs the parturient of O blood type were selected, when they were giving birth to children, we screened out the A and B umbilical cord＇ s blood type routinely, and devided the 49 neonates into two groups. 23 cases as the experiment group were given Phenobarbital by taking orally and given Chinese medicinat herb to eliminate serum bilirubin as soon as the eholesteroderma were founded. The control group of 26 cases were given no medicine. Two groups neonates were given blue light treatment and so on when their serum bilirubin concentrations was over physiological level. Results two groups serum bilirubin concentrations without diference before synthetic treatment （P 〉 0.05） , but after 24 and 48 hours of synthetic treatment. There was statistically difference between two group （P 〈 0. 15 ;0. 01 ）. There was statiseally significant different between the time of blue light and skin bilirubin. Conculusion It is effectively to decrease serum bilirubin top concentrations by giving soluble Phenobrbaital and Chinese medicinal herb in early term and avoid exchange transtusion. Deeurtate of treatment.
出处
《光明中医》
2010年第3期488-489,共2页
GUANGMING JOURNAL OF CHINESE MEDICINE
关键词
新生儿
黄疸
中西医结合疗法
neonate
jaundice Integrated traditional Chinese and Western Medicine theropy
