摘要
目的:观察中西医结合治疗母婴ABO血型不合的临床疗效。方法:将80例患者随机分为2组。对照组30例以维生素C、维生素E治疗;治疗组50例在对照组治疗基础上配合中药煎剂茵芪合剂(药用茵陈、黄芪、栀子、黄芩、白术、续断等)治疗。结果:治疗组治愈37例,好转12例,无效1例,新生儿黄疸未发生,治愈率74.00％,总有效率98.00％。对照组治愈7例,好转13例,无效10例,新生儿黄疸发生4例,治愈率23.33％,总有效率66.67％。治疗组治愈率、总有效率明显高于对照组,差异有非常显著性意义(P<0.01)。2组治疗后IgG抗A(抗B)抗体效价比值均明显下降。与治疗前比较,差异均有显著性意义(P<0.05)。结论:中西医结合治疗母婴ABO血型不合疗效显著,可有效防治新生儿ABO溶血病的发生。
Objective: To observe the curative effect of TCM combined with western medicine (WM) for blood group incompatibility (BGI) between mother and her baby. Methods: 80 cases were allocated to 2 groups randomly. Vitamin C and E were given to the control group (30 cases); other than vitamins, Yinqi mixture (composed of Herba Artemisiae Scorpariae, Radix Astragali, Fructus Gardeniae, Radix Scutellariae, Rhizoma Atractylodis Macrocephalae and Radix Dipsaci) was added for the treatment group. Results: In treatment group , 37 cases were cured, 12 cases improved and 1 cases ineffective, the cured rate being 74. 00% and total effective rate being 98. 00% , and no neonatal jaundice occurred, and in control group 7, 13, 10, and 66. 67% respectively and 4 cases of neonatal jaundice occurred. The cured rate and total effective rate of treatment group were markedly higher than those of control group ( P < 0. 01). The ratios of antibody titer of antibody A(B) of IgA were markedly decreased in both groups after treatment, the difference was significant as compared with before treatment ( P < 0. 05) . Conclusion: TCM combined with WM possesses marked effect for ABO blood groups incompatibility between mother with her baby, and can prevent the occurrence of neonatal hemolytic disease.
出处
《新中医》
CAS
北大核心
2004年第12期42-43,共2页
New Chinese Medicine
关键词
血型不合
ABO血型系统
中西医结合疗法
菌芪舍剂
妊娠并发症
血液
blood incompatibility
ABO blood group system
therapy, TCM combined with WM
Yinqi mixture
complication of pregnancy, blood
