ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2020, Vol. 12 ›› Issue (5): 403-406.doi: 10.3969/j.issn.1674-3865.2020.05.010

• 临床研究 • 上一篇    下一篇

改良蓝光灯联合中药煮散剂灌肠治疗湿热蕴蒸型胎黄的优势探讨

张倩,张美芳,刘晓娜,尹志芳,谢萍萍,孟圆   

  1. 056001 河北 邯郸,邯郸市妇幼保健院儿科(张倩,尹志芳,孟圆);056001 河北 邯郸,邯郸明仁医院儿科(张美芳,谢萍萍);056002 河北 邯郸,河北工程大学附属医院儿科(刘晓娜)
  • 出版日期:2020-10-25 发布日期:2020-11-28
  • 通讯作者: 张美芳,E-mail:445248672@qq.com
  • 基金资助:
    河北省卫生健康委科研基金项目(20181706)

Study on the advantage of modified blue light lamp combined with enema with traditional Chinese medicine boiled powder

  • Online:2020-10-25 Published:2020-11-28

摘要: 目的 探讨改良蓝光灯联合中药煮散剂灌肠在新生儿湿热蕴蒸型胎黄治疗中的疗效观察。
方法 2013年9月至2020年2月邯郸开发区左岸枫桥社区卫生服务站共收治新生儿病理性黄疸患儿120例,随机分为观察组和对照组各60例。对照组予单面黄疸治疗箱治疗,同时口服茵栀黄口服液;观察组予改良蓝光灯箱治疗,同时自拟中药方(茵陈、黄芩、黄连、黄柏、栀子为主方)灌肠治疗。治疗3、5 d比较两组患儿胆红素水平下降情况及治疗副作用。
结果 两组在治疗3、5 d后血清胆红素下降值比较无明显差异,差异无统计学意义(P>0.05)。观察组患儿在治疗3、5 d后出现结膜炎、腹泻、母乳不足、哭闹等副作用显著低于对照组,差异有统计学意义(P<0.05)。
结论 改良蓝光灯联合中药煮散剂灌肠治疗与传统单面黄疸治疗箱配合口服茵栀黄口服液在治疗湿热蕴蒸型胎黄方面疗效相当,且便于携带,保证了母婴同室及母乳喂养,有利于母婴的身心健康,安全性高。

关键词: 胎黄, 改良蓝光灯, 中药煮散剂, 儿童

Abstract: Objective To explore the curative effect of modified blue light combined with enema with Chinese herbal medicine boiled powder in the treatment of neonatal fetal yellow(dampheat accumulating type).
Methods From September 2013 to February 2020, a total of 120 children with neonatal pathological jaundice were admitted to the Zuoan Fengqiao Community Health Service Station of Handan Development Zone. They were randomly divided into observation group and control group with 60 cases in each group. The control group was treated with a singlesided jaundice treatment box and Yinzhihuang Oral Liquid was administered at the same time; the observation group was treated with a modified blue light box, and at the same time enema treatment with selfmade Chinese medicine prescriptions(yinchen, scutellaria, coptis, phellodendron, and Zhizi as the main prescription) was performed. After 3 and 5 days of treatment, the bilirubin levels and side effects of the two groups were compared.
Results There was no significant difference in serum bilirubin decline between the two groups after 3 or 5 days of treatment(P>0.05). There were significant differences in side effects(P<0.05), such as conjunctivitis, diarrhea, insufficient breast milk, crying, etc. between the two groups after 3 and 5 days of treatment.
Conclusion The modified blue light combined with enema with traditional Chinese medicine boiled powder and the traditional singlesided jaundice treatment box combined with oral Yinzhihuang oral liquid have the same curative effect in the treatment of fetal yellow(dampheat accumulating type), and it is easy to carry, which ensures that mothers and babies are in the same room and breastfeeding can be given, so it is conducive to the physical and mental health of mothers and babies with high safety.

Key words: Fetal yellow, Modified blue light, Traditional Chinese medicine boiled powder, Children