退黄汤泡浴对湿热型新生儿病理性黄疸的效果观察  

作　　者：马同英 王立新 

机构地区：[1]寿光市人民医院,山东寿光262700 [2]青州市人民医院,山东青州262500

出　　处：《中华临床医师杂志（电子版）》2016年第7期104-105,共2页Chinese Journal of Clinicians(Electronic Edition)

摘　　要：目的 分析和研究自拟中药退黄汤泡浴对湿热型新生儿病理性黄疸的影响.方法 选取2014 年4 月-2015 年12 月湿热型病理性黄疸患儿68 例,将其按抽签法随机分为观察组与对照组,每组各有患儿34 例.对照组患儿给予常规对症治疗;观察组患儿在常规治疗与护理基础上加用自拟中药退黄汤泡浴治疗,将两组患儿治疗6 天后的疗效及不良反应发生情况进行对比.结果 两组患儿治疗总有效率相比较观察组高于对照组P〈0.05.两组患儿治疗1-6 天胆红素水平检测值相比较：两组患儿治疗1-2 天胆红素水平检测值无明显差异P〉0.05;观察组患儿治疗3-6 天胆红素水平检测值明显低于对照组P〈0.05.两组患儿复发率相比较：观察组低于对照组P〈0.05.结论 将自拟中药退黄汤泡浴方法应用于湿热型新生儿病理性黄疸患儿治疗中,其利用新生儿皮肤易于吸收作用,可有效促进新生儿黄疸消退及胆红素水平值恢复,对降低新生儿黄疸再复发具有重要作用.Objective to analyze and evaluate the influence of Chinese medicine bath TuiHuangTang on damp heat jaundice of newborn.Methods 68 cases of patients with wet and humid heat type in April 2014, April 2015, were randomly divided into observation group and control groupwith 34 cases in each group. Children in the control group were given routine symptomatic treatment; the observation group patients based on routinetreatment and nursing care plus with self-made traditional Chinese medicine Tuihuang Decoction bath for the treatment, two groups of children withtreatment efficacy and adverse reactions of 6 days was compared. Results the total effective rate of treatment in the two groups was higher than that inthe control group, the observation group was higher than that in the control group P 〈 0.05. In the two groups of patients, the 1-6 level of serum bilirubinlevels were compared the value of 1-2 in the treatment of two groups was no significant difference P 〉 0.05; the value of 3-6 in the observation group wassignificantly lower than that in the control group P 〈 0.05. The recurrence rate of the two groups were compared. The observation group was lower than thecontrol group P 〈 0.05. Conclusion the self-made traditional Chinese medicine Tuihuang Decoction bath method is applied to damp heat type of neonatalpathological jaundice treatment in children with, the newborn skin easy absorption, can effectively promote the neonatal jaundice subsided and the level ofbilirubin values returned, to reduce neonatal jaundice recurrence has an important role.

关 键 词：自拟中药退黄汤 泡浴 湿热型 新生儿 病理性黄疸 

分 类 号：R722.17[医药卫生—儿科]