中西医结合治疗新生儿胆汁淤积症32例临床观察  

Clinical observation on 32 cases of neonatus cholestasis treated with combined traditional Chinese and Western medicine

作　　者：尤德明[1] 王海瑞[1] 席康明[1] 姜开军[1] 施务务[1] 张颖[1] 孙路路[1] 

机构地区：[1]蚌埠市第一人民医院中医科,安徽蚌埠233000

出　　处：《中医儿科杂志》2017年第1期69-71,共3页Journal of Pediatrics of Traditional Chinese Medicine

摘　　要：目的观察中西医结合治疗新生儿胆汁淤积症的临床疗效。方法将我院新生儿科收治的62例新生儿胆汁淤积症患儿随机分为治疗组32例和对照组30例,对照组给予口服苯巴比妥加蓝光照射治疗,治疗组在对照组治疗方法的基础上配合中药灌肠治疗,治疗7 d后比较2组患儿的临床疗效。结果对照组总有效率为63.3%,治疗组为87.5%,2组比较差异有统计意义(P<0.05);治疗7 d后2组血清总胆红素(TBIL),直接胆红素(DBIL)和胆汁酸(TBA)均较治疗前降低,差异均有统计意义(P<0.05),且治疗组TBIL,DBIL和TBA值下降幅度大于对照组,差异均有统计意义(P<0.05)。结论中西医结合治疗新生儿胆汁淤积症疗效显著,值得临床推广应用。Objective To observe the clinical effect of neonatus cholestasis treated with combined traditional Chinese and Western medicine.Methods 62 cases of neonatus cholestasis patients were randomized into therapy group（32） and control group（30）.The control group was given oral Phenobarbital and blue-ray radiation therapy,while the therapy group was treated with TCM enema at the basis of therapy of control group.After treated for 7days,clinical effect of two groups was observed.Results The total effective rate was 87.5% in therapy group and63.3%in control group with statistically significant difference（P 〈 0.05）.After treated for 7 days,TBIL,DBIL and TBA in two groups were both decreased after comparing with these before treatment,differences were statistical significance（P〈0.05）.TBIL,DBIL and TBA in the therapy group were both lower than these in the control group with significant difference（P 〈 0.05）.Conclusion The combination treatment of Chinese and Western medicine has a significant effect on the treating of neonatus cholestasis,which is worthy of clinical promotion.

关 键 词：新生儿胆汁淤积症 中西医结合 临床观察 

分 类 号：R272.1[医药卫生—中医儿科学]