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茵陈地黄汤药浴联合蓝光和茵栀黄颗粒治疗51例新生儿黄疸的临床疗效分析 被引量:9

Clinical analysis of therapeutic effect of Yinchen Dihuang decoction combined with blue light and Yinzhihuang granule on 51 cases of neonatal jaundice
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摘要 目的:对茵陈地黄汤药浴联合蓝光和茵栀黄颗粒治疗新生儿黄疸的临床疗效进行分析。方法:选取101例新生儿黄疸患者随机分为观察组(n=51)和对照组(n=50),对照组采用蓝光间歇照射、口服茵栀黄颗粒以及新生儿常规护理,观察组在此基础上给以茵陈地黄汤药浴。观察两组总有效率、治愈率、血清总胆红素水平、黄疸消失时间以及不良反应情况。结果:观察组治愈率、总有效率均显著高于对照组(66.67%vs 42.00%,96.08%vs 92.00%)。治疗5 d后,观察组总胆红素为(70.22±13.23)mmol/L,显著低于对照组的(109.76±15.44)mmol/L;平均黄疸消失时间为(2.41±0.62)d,显著低于对照组的(3.62±0.71)d。结论:茵陈地黄汤药浴联合蓝光照疗法和口服茵栀黄颗粒治疗新生儿黄疸临床疗效显著。 Objective:To analyze the clinical effect of Yinchen Dihuang decoction combined with blue light and Yinzhihuang granule on neonatal jaundice.Methods:One hundred and one cases of neonatal jaundice were randomly divided into an observation group(n=51)and a control group(n=50).Both groups were treated with blue light intermittent irradiation,oral Yinzhihuang granules and routine neonatal care while the observation group was additionally given medical bath of Yinchendihuang decoction.The total effective rate,recovery rate,serum total bilirubin level,jaundice disappearance time and adverse reaction were observed.Results:The recovery rate and total effective rate in the observation group were significantly higher than those in the control group(66.67%vs 42.00%,96.08%vs 92.00%).After 5 days of treatment,total bilirubin level was significantly lower in the observation group than the control group[(70.22±13.23)vs(109.76±15.44)mmol/L].The mean time for jaundice disappearance was significantly lower in the observation group than the control group[(2.41±0.62)vs(3.62±0.71)d].Conclusion:The clinical effect of the medical bath of Yinchen Dihuang decoction combined with blue light therapy and oral Yinzhihuang granules on neonatal jaundice is significant.
作者 袁和秀 袁珺 YUAN Hexiu;YUAN Jun(Department of Pediatrics,the People’s Hospital of Ganzhou,Jiangxi Ganzhou 341000,China)
出处 《上海医药》 CAS 2020年第21期34-36,70,共4页 Shanghai Medical & Pharmaceutical Journal
关键词 茵陈地黄汤 蓝光 茵栀黄颗粒 新生儿黄疸 Yinchen Dihuang decoction blue light Yinzhihuang granule neonatal jaundice
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