消黄汤经验方和穴位按摩联合蓝光照射辨治湿热熏蒸型新生儿黄疸的临床效果  

Clinical Study on Differentiating and Treating Newborn Jaundice in the Pattern of Dampness Heat and Fumigation with Experiential Recipe Xiaohuang Decoction and Acupoint Massage Combined with Blue Ray

作　　者：陈勇[1] 张勤[2] Chen Yong;Zhang Qin(First Massage Department of Beijing Massage Hospital, Beijing 100035, China;Department of Neonatology of Internal Medicine of Children＇s Hospital of Capital Institute of Pediatrics, Beijing 100020, China)

机构地区：[1]北京按摩医院推拿一科,北京100035 [2]首都儿科研究所附属儿童医院新生儿内科,北京100020

出　　处：《世界中医药》2018年第1期112-115,共4页World Chinese Medicine

基　　金：北京市东城区科研立项资助(2009卫05)

摘　　要：目的:观察用消黄汤经验方、穴位按摩联合蓝光照射辨治湿热熏蒸型新生儿黄疸的临床治疗效果。方法:选取2015年1月至2016年8月北京按摩医院收治的湿热熏蒸型新生儿黄疸者136例,随机分为对照组和观察组,各68例。对照组患儿给予蓝光照射治疗;观察组患儿则加用消黄汤经验方、穴位按摩联合治之,2组均连续治疗7 d。观察2组治疗的临床效果,观察治疗前后胆红素水平变化,记录黄疸的消退时间,监测肝肾功能及机体免疫功能变化。结果:观察组有效率92.6%显著高于对照组77.9%(P<0.05);观察组胆红素水平经治疗后显著低于对照组,胆红素水平恢复正常的时间、黄疸的消退时间短于对照组(P<0.05);观察组肝功能指标ALT、AST及肾功能指标BUN、Cr显著低于对照组(P<0.05);观察组血清免疫球蛋白Ig A、Ig G、Ig M水平显著高于对照组患者(P<0.05)。结论:消黄汤经验方、穴位按摩联合蓝光照射治疗湿热熏蒸型新生儿黄疸疗效确切,利于缓解症状,降低胆红素水平,促进黄疸消退,其机制与改善肝肾功能、提高机体免疫力有一定相关性。Objective： To observe the clinical effects of differentiating and treating newborn jaundice in the pattern of dampness heat and fumigation with experiential recipe Xiaohuang decoction and acupoint massage combined with blue ray. Methods： A total of 136 patients with newborn jaundice in the pattern of dampness heat and fumigation who were hospitalized in Beijing Massage Hospital from January 2015 to August 2016 were enrolled in this study. The subjects were randomly divided into control group and observation group,with 68 cases in each group. Patients in control group were treated with blue ray,while the patients in observation group were treated added with Xiaohuang decoction combined with acupoint massage. The treatment course was 7 days in both groups. The therapeutic effects of both group and the changes in the level of bilirubin before and after treatment were observed.The regression time of jaundice was recorded,as well as the changes of hepatorenal function and immunity were observed and checked. Results： The effective rate was 92. 6 % in observation group,significantly higher than 77. 9 % in control group（ P〈0. 05）. The level of bilirubin was significantly lower in observation group,as the time for returning to normal and regression time of jaundice were shorter than control group（ P〈0. 05）. Liver function index of ALT and AST and kidney function index of BUN,Cr of observation group were significantly lower than control group（ P〈0. 05）; The levels of serum immunoglobulin IgA,IgG,IgM in observation group were higher than control group（ P〈0. 05）. Conclusion： The clinical effects of differentiating and treating newborn jaundice in the pattern of dampness heat and fumigation with experiential recipe Xiaohuang decoction and acupoint massage combined with blue ray were exacted and were good for relieving symptoms. The treatment could reduce the level of bilirubin and quicken the progress of jaundice regression. Its mechanism had some correlation with improving hepatorenal function

关 键 词：新生儿黄疸 湿热熏蒸型 临床研究 

分 类 号：R289[医药卫生—方剂学] R272[医药卫生—中药学]