中医治疗与护理措施干预湿热熏蒸型新生儿病理性黄疸效果研究  

A Study on Effect of Chinese Medicine Treatment and Nursing on Neonatal Pathologic Jaundice of Dampness-heat Fumigation Type

作　　者：吴爱珍[1] 高丽娟[1] 蒋慧玲[1] WU Aizhen;GAO Lijuan;JIANG Huiling

机构地区：[1]丽水市中心医院,浙江丽水323000

出　　处：《新中医》2020年第7期160-163,共4页New Chinese Medicine

基　　金：丽水市2015年市本级公益性技术应用研究自筹项目[2015sjzc39丽科(2016)37号]。

摘　　要：目的:观察在常规护理基础上加用中医治疗与护理措施干预湿热熏蒸型新生儿病理性黄疸的临床疗效。方法:纳入80例湿热熏蒸型病理性黄疸患儿,研究人员将其分成对照组和观察组,每组40例。2组患儿均采用常规的护理方法,观察组加用中医治疗与护理方法,包括中药药浴、小儿推拿。2组均观察10 d。记录2组患儿的黄疸指数、退黄时间、胎粪转黄时间、胆红素降低幅度及住院时间,并比较2组患儿的临床疗效和患儿家属对护理措施的满意程度。结果:治疗后,观察组临床效果优于对照组(P<0.01)。观察组第3~6天的黄疸指数均低于对照组(P<0.05)。观察组的退黄时间、胎粪转黄时间和住院时间均较对照组缩短(P<0.05),胆红素降低幅度大于对照组(P<0.01)。观察组患儿家属对护理措施的满意度高于对照组(P<0.01)。结论:对病理性黄疸患儿在常规护理措施基础上加用中医治疗与护理措施进行干预,可以提高临床治疗效果,有效降低胆红素水平,疗效确切。Objective: To observe the curative effect of the additional application of Chinese medicine treatment and nursing based on conventional treatment for neonatal pathologic jaundice of dampness-heat fumigation type. Methods: A total of 80 newborns with pathologic jaundice of dampness-heat fumigation type were divided into the control group and the observation group,40 cases in each group. Both groups were treated with conventional nursing,and the observation group was additionally treated with Chinese medicine treatment and nursing,including Chinese herbal baths and infant massage.Both groups were observed for ten days. The jaundice index,yellow removal time,time of meconium turning into yellow,bilirubin reduction and hospital stay in the two groups were recorded,and the clinical effect as well as the satisfaction of their families were compared. Results: After treatment, the clinical effect in the observation group was better than that in the control group(P<0.01). The jaundice indexes from the third day to the sixth day in the observation group were lower than those in the control group(P<0.05). The yellow removal time,time of meconium turning into yellow and hospital stay in the observation group were shortened when compared with those in the control group(P<0.05),and the bilirubin reduction was greater than that in the control group(P<0.05). The families of the observation group were more satisfied with the nursing measures than those of the control group(P<0.01). Conclusion:The additional application of Chinese medicine treatment and nursing based on conventional treatment has accurate effect in treating neonatal pathologic jaundice of heat-damp fumigation type,which can improve the therapeutic effect and effectively reduce the level of bilirubin.

关 键 词：病理性黄疸 新生儿 湿热熏蒸型 小儿推拿 药浴 黄疸指数 胆红素 

分 类 号：R722.17[医药卫生—儿科]