摘要
目的观察中药泡浴联合小儿推拿对湿热郁蒸型新生儿黄疸总胆红素(TBiL)和中医证候的影响。方法将300例湿热郁蒸型新生儿黄疸患儿按照随机数字表法分为3组,对照组100例予复方嗜酸乳杆菌片治疗,中药泡浴组100例在对照组治疗基础上加用中药泡浴,联合组100例在中药泡浴组基础上加用小儿推拿。3组均治疗7天。比较3组中医证候疗效;比较3组治疗前后TBiL水平;比较3组治疗前后中医证候评分变化;比较3组黄疸持续时间。结果试验过程中,因依从性差脱落9例,最终中药泡浴组96例、联合组97例、对照组98例完成研究。中药泡浴组总有效率98.96%(95/96),联合组总有效率100%(97/97),对照组总有效率74.49%(73/98),中药泡浴组、联合组疗效优于对照组(P<0.05);中药泡浴组与联合组总有效率比较差异无统计学意义(P>0.05)。3组治疗后TBiL水平均较本组治疗前降低(P<0.05);中药泡浴组、联合组治疗后TBiL水平均低于对照组(P<0.05);治疗后中药泡浴组与联合组比较差异无统计学意义(P>0.05)。3组治疗后各项中医证候评分及总积分均较本组治疗前降低(P<0.05);治疗后中药泡浴组、联合组各项中医证候评分及总积分均低于对照组(P<0.05)。中药泡浴组黄疸持续时间(15.03±3.24)天,联合组黄疸持续时间(14.13±3.20)天,对照组黄疸持续时间(20.43±10.18)天,中药泡浴组、联合组黄疸持续时间均较对照组缩短(P<0.05);中药泡浴组与联合组黄疸持续时间比较差异无统计学意义(P>0.05)。结论中药泡浴联合小儿推拿治疗湿热郁蒸型新生儿黄疸,能降低TBiL水平,改善中医证候,缩短病程。
Objective To observe the effect of Chinese herbal medicated-bathcombined with infantile massage on total bilirubin(TBiL)andtraditional Chinese medicine(TCM)syndrome in fetal jaundice with syndrome of stagnation and steaming of damp-heat.Methods A total of 300 cases with fetal jaundice(syndrome of stagnation and steaming of damp-heat)were randomly assigned into the control group(n=100,2 cases dropped off),the TCM bath group(n=100,4 cases dropped off),the combined group(n=100,3 cases dropped off).All patients were managed by compound eosinophil-lactobacillus tablets,the TCM bath group was additionally treated withChinese herbal medicated-bath,and the combined group was additionally treated with TCM bath combined with infantile massage.Treated for 7 days,aiming to compare curative effect of TCM syndrome,TBiL,TCM syndrome score,duration of jaundice.Results The overall effective rate in the TCM bath group and the combined group was better than that in the control group(98.96%[95/96],100%[97/97]vs 74.49%[73/98],[P<0.05],respectively),which in the TCM bath group and the combined group was similar(P>0.05).TBiL in the three groups was significantly decreased(P<0.05),which in the TCM bath group and the combined group was significantly lower than that in the control group(P<0.05).TBiL in the TCM bath group was comparable to the combined group(P>0.05).TCM symptom scores in the three groups were significantly decreased(P<0.05),which in the TCM bath group and the combined group were significantly lower compared with the control group(P<0.05).The duration of jaundice in the TCM bath group and the combined group was significantly shorter than that in the control group([15.03±3.24]days,[14.13±3.20]days vs[20.43±10.18]days,[P<0.05],respectively),which was comparable between the TCM bath group and the combined group(P>0.05).Conclusion For fetal jaundice with syndrome of stagnation and steaming of damp-heat,Chinese herbal medicated-bath combined with infantile massage can reduce the level of TBiL,improve TCM syndrome and shorten
作者
甘丽
贺玮苇
刘玲
李兰
翁顺超
GAN Li;HE Weiwei;LIU Ling;LI Lan;WENG Shunchao(Department of Traditional Chinese Medicine,Chengdu Shuangliu District Maternal and Child Health Hospital,Chengdu,Sichuan 610200;Department of Traditional Chinese Medicine,Jitian Health Center of Sichuan Tianfu New Area,Chengdu,Sichuan 610000;Department of Internal Medicine of Traditional Chinese Medicine,Chengdu Qingbaijiang District Hospital of Traditional Chinese Medicine,Chengdu,Sichuan 610300)
出处
《河北中医》
2023年第9期1445-1448,共4页
Hebei Journal of Traditional Chinese Medicine
基金
四川省中医药管理局科学技术研究专项课题(编号:2020LC0040)。
关键词
胎黄
中医疗法
小儿推拿疗法
Fetal jaundice
Traditional Chinese medicine therapy
Infantile massage
