退黄汤药浴对新生儿黄疸的早期干预的探讨
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摘要
目的探讨退黄汤药浴对早期新生儿黄疸的干预作用。方法将2017年3月—2018年7月本院出生的106例足月健康新生儿随机分为观察组(药浴组54例)和对照组(常规沐浴组52例),观察组患儿出生后1 d开始药浴,对照组患儿常规沐浴;对2组患儿出生后1 d、3 d、5 d、7 d进行经皮胆红素测定,2组进行比较。结果从出生后3 d开始,观察组患儿平均经皮胆红素值低于对照组,2组比较有临床意义;对照组患儿需住院行光疗退黄的比例高于观察组(P<0.05),2组比较有临床意义。结论中药药浴对预防新生儿黄疸有积极作用。
Objective To explore the intervention effect of Tuihuang decoction drug bath on early neonatal jaundice. Methods 106 healthy full-term neonates born in our hospital from March 2017 to July 2018 were randomly divided into observation group(54 cases in the drug bath group) and control group(52 cases in the routine bath group). The observation group started drug bath 1 day after birth, and the control group received routine bath. Percutaneous bilirubin was measured on 1 d, 3 d, 5 d and 7 d after birth, and the two groups were compared. Results From 3 days after birth, the mean value of percutaneous bilirubin in the observation group was lower than that in the control group, the two groups had clinical significance. The proportion of patients in the control group who needed to be treated with phototherapy was higher than that in the observation group, and the two groups had clinical significance( P <0.05).Conclusion Chinese medicine bath has positive effect on preventing neonatal jaundice.
Objective To explore the intervention effect of Tuihuang decoction drug bath on early neonatal jaundice. Methods 106 healthy full-term neonates born in our hospital from March 2017 to July 2018 were randomly divided into observation group(54 cases in the drug bath group) and control group(52 cases in the routine bath group). The observation group started drug bath 1 day after birth, and the control group received routine bath. Percutaneous bilirubin was measured on 1 d, 3 d, 5 d and 7 d after birth, and the two groups were compared. Results From 3 days after birth, the mean value of percutaneous bilirubin in the observation group was lower than that in the control group, the two groups had clinical significance. The proportion of patients in the control group who needed to be treated with phototherapy was higher than that in the observation group, and the two groups had clinical significance( P <0.05).Conclusion Chinese medicine bath has positive effect on preventing neonatal jaundice.
引文
[1]金汉珍,黄德珉,关希吉.实用新生儿学[M].4版.北京:人民卫生出版社,2013:271.
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[4]Mishra S,Agarwal R,Deorari A K,et al.Jaundice in the newborns[J].Indian J Pediatr,2008,75(2):157-163.
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[6]毛健,富建华,陈丽英,等.重度高胆红素血症新生儿苍白球磁共振成像特征及其临床意义[J].中华儿科杂志,2007,45(1):24-29.
[7]Ahlfors C E,Parker A E.Unbound bilirubin concentration is associated with abnormal automated auditory brainstem response for jaundiced newborns[J].Pediatrics,2008,121(5):976-978.
[8]赵菁,霍薏钦.新生儿黄疸治疗新进展[J].九江医学,2007,22(1):61-64.
[9]陶钧.中医药防治新生儿黄疸研究进展[J].中医儿科杂志,2010,6(1):50-52.
[10]王玉蛟,王立新.中医防治新生儿黄疸的研究进展[J].中国医药科学,2016,6(1):26-30,34.
[11]鲍珊,杨晓燕,唐军,等.新生儿黄疸研究现状的共词分析[J].中国当代儿科杂志,2014,16(8):820-823.
[2]Bhutani VK,JohnsonL.Kernicterus:Apreven table neonatalbra ininjury[J].JArab Neonatal Forum,2005(2):12-24.
[3]李秋平,封志纯.美国儿科学会最新新生儿黄疸诊疗指南[J].实用儿科临床杂志,2006,21(14):958-960.
[4]Mishra S,Agarwal R,Deorari A K,et al.Jaundice in the newborns[J].Indian J Pediatr,2008,75(2):157-163.
[5]唐卉,李慕军,杨晓娅,等.脐血胆红素早期预测新生儿病理性黄疸的价值[J].广西医学,2001,23(8):729-730.
[6]毛健,富建华,陈丽英,等.重度高胆红素血症新生儿苍白球磁共振成像特征及其临床意义[J].中华儿科杂志,2007,45(1):24-29.
[7]Ahlfors C E,Parker A E.Unbound bilirubin concentration is associated with abnormal automated auditory brainstem response for jaundiced newborns[J].Pediatrics,2008,121(5):976-978.
[8]赵菁,霍薏钦.新生儿黄疸治疗新进展[J].九江医学,2007,22(1):61-64.
[9]陶钧.中医药防治新生儿黄疸研究进展[J].中医儿科杂志,2010,6(1):50-52.
[10]王玉蛟,王立新.中医防治新生儿黄疸的研究进展[J].中国医药科学,2016,6(1):26-30,34.
[11]鲍珊,杨晓燕,唐军,等.新生儿黄疸研究现状的共词分析[J].中国当代儿科杂志,2014,16(8):820-823.