摘要
目的 观察清热利湿法为主治疗新生儿黄疸的临床疗效。方法 74例新生儿黄疸患儿随机分为 2组 ,对照组 3 2例采用蓝光照射、酶诱导剂等西医常规治疗 ,治疗组 42例在对照组治疗基础上加用中药辨证治疗。观察 2组黄疸消退时间及总胆红素下降水平。结果 治疗 7、1 0、1 4日 ,治疗组黄疸分别消退 1 0例( 2 3 .8% )、2 9例 ( 69.0 % )、3 5例 ( 83 .3 % ) ,总胆红素分别为 ( 1 5 2 .2± 3 2 ) μmol L、( 1 0 7.4± 1 8.2 ) μmol L、( 3 9.7± 7.4) μmol L;对照组黄疸消退分别为 2例 ( 6.2 5 % )、1 2例 ( 3 7.5 % )、2 0例 ( 62 .5 % ) ,总胆红素分别为( 1 92 .8± 5 4) μmol L、( 1 5 9.3± 2 7.9) μmol L、( 67.4± 1 4.3 ) μmol L。 2组黄疸消退情况与总胆红素下降水平比较经统计学处理均有显著性差异 (P <0 .0 5 )。结论 清热利湿法为主治疗新生儿黄疸可明显缩短黄疸消退时间 ,降低总胆红素水平 ,临床疗效确切。
Objectiue To observe the clinical curative effect on neonatal jaundice treated mainly by the therapy of clearing heat and removing dampness.Methods 74 newborn babies suffering from jaundice divided into two groups randomly.The control group(n=32) adopted routine western medicine treatment, such as blue light phototherapy and enzyme revulsion. The treatment group(n=42) adopted traditional Chinese medicine treatment (maily clearing heat and removing dampness) on the basis of western medicine treatment.Results After receiving the treatment for seven, ten, fourteen days, the jaundice of the treatment group had been reduced by 23.8%, 69.0% and 83.3% respectively. The total bilirubin is (152.2+32) umol/L, (107.4+18.2)umol/L,and (39.7+7.4)umol/L. On the other hand, the jaundice of the control group had been reduced by 6.25%, 37.5% and 62.5% respectively. The total bilirubin is (192.8+54) umol/L,(159.3+27.9)umol/L,and (67.4+14.3)umol/L.There is significant difference in the respects of the reduction of jaundice and biochem between the two groups(P<0.05).Conclusion Neonatal jaundice mainly treated by the therapy of clearing heat and removing dampness can obviously reduce the time length of jaundice and lower the level of biochem,and the curative effect is definite.
出处
《河北中医》
2004年第4期252-253,共2页
Hebei Journal of Traditional Chinese Medicine
关键词
清热利湿法
黄疸
新生儿
中医药疗法
Therapy of clearing heat and removing dampness
Jaundice,Neonatal
Total bilirubin
