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

中国中西医结合儿科学 ›› 2015, Vol. 7 ›› Issue (1): 23-26.doi: 10.3969/j.issn.1674-3865.2015.01.009

• 临床论著 • 上一篇    下一篇

中医联合光疗治疗新生儿黄疸疗效与经济对比分析

高中秋，黄静，黄琼，庞洁   

  1. 528305 广东 佛山，佛山市顺德区桂洲医院儿科
  • 上线日期:2018-11-19
  • 作者简介:高中秋（1957-），男，副主任医师。研究方向：新生儿疾病的诊断与治疗，Email:941956285@qq.com。

Clinically financial analysis of chinese medicinal home therapy versus hospitalized phototherapy for neonatal jaundice.

GAO Zhongqiu,HUANG Jing,HUANG Qiong.   

  1. Pediatric hospital of Shunde District Foshan Gui Zhou City，528305 Foshan，China
  • Online:2018-11-19

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摘要：
目的:观察门诊中医治疗与蓝光照射治疗新生儿黄疸的疗效和费用差别，以及对各自的后期影响。
方法:将159例足月新生儿病理性黄疸分为两组，69例经济有困难的患儿为门诊中医治疗组，90例入住新生儿病房的患儿为蓝光治疗组，两组均采用苯巴比妥钠、复合乳酸菌、新生儿抚触及腹部按摩等辅助治疗，门诊中医治疗组采用茵陈蒿汤加味（湿热黄疸）或茵陈理中汤加味（寒湿黄疸）并坚持母乳喂养。蓝光治疗组采用人工喂养及蓝光照射治疗，两组均连续治疗4 d，第5天对两组的临床疗效用皮测黄疸值进行监测（部分病例复查血清胆红素值），黄疸治愈后随访半年观察两种治疗方法对患儿后期的影响，并对治疗费用等数据进行统计学分析。
结果:两组患儿的治疗效果无统计学意义，但两组治疗费用有统计学意义，随访半年两组的母乳喂养人数、发病人数和治疗费用均有统计学意义。
结论:门诊中医治疗新生儿黄疸既经济有效，又有益患儿后期健康发育，值得临床推广。

关键词: 黄疸, 治疗, 中医药疗法, 蓝光照射, 费用效益分析, 婴儿, 新生儿

Abstract:
Objective:Study of the shortterm,longterm effectiveness and of cost nonehospitalized treatment with Chinese medicine for neonatal jaundice.MethodAmoung 159 neonates with neonatal jaundice,69 neonates with Chinese medicine and 90 hospitalized with phototherapy.They were treated with phenobarbital,compound lactic acid bacteria,newborn touching and abdominal massage auxiliary treatment.The Chinese medicine group were treated with Yinchenhao Decoction(jaundice)or capillary artemisia Lizhong Decoction(cold damp jaundice)and insisted on breastfeeding.The hospitalized neonates were treated with blue ray treatment and artificial feeding.Both were monitored with transcutaneous bilirubinometer for five days and followed up for a half year observation.
Results:No significant difference between the two groups in the therapeutic effect，but the cost for nonehospitalized group were reduced by 89.3%.Six months followup showed that the number of incidence in Chinese medicinal group was significant reduced.
 Conclusion:Nonehospitalized Chinese medicinal treatment for neonatal jaundice has less cost and the incidence of other diseases was reduced.

Key words: jaundice, treatment, Chinese medicine, phototherapy, costeffectiveness analysis, baby neonatal