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清黄颗粒治疗新生儿黄疸的效果

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目的 探讨清黄颗粒对新生儿黄疸临床疗效的影响.方法 选取山东省立第三医院2021年1月至12月收治的144例新生儿黄疸患儿,依据随机数字表法将其分为对照组和观察组,每组72例.对照组给予蓝光治疗,观察组在对照组的基础上联合清黄颗粒口服治疗,治疗周期为5 d.比较两组临床疗效;比较两组治疗前后血清总胆红素、直接胆红素、间接胆红素、免疫球蛋白(Ig)A、IgG、黄疸指数;比较两组黄疸消退时间、蓝光治疗时间、蓝光治疗费用及住院时间;记录两组治疗期间不良反应发生情况.结果 观察组临床疗效优于对照组(P<0.05).治疗后,两组总胆红素、间接胆红素水平低于治疗前,且观察组低于对照组(P<0.05);两组治疗前后直接胆红素水平比较,差异无统计学意义(P>0.05).治疗后,两组IgA、IgG水平高于治疗前,且观察组高于对照组(P<0.05).治疗后,两组黄疸指数低于治疗前,且观察组低于对照组(P<0.05);观察组黄疸消退时间、蓝光治疗时间、住院时间短于对照组,蓝光治疗费用低于对照组(P<0.05).观察组不良反应总发生率低于对照组(P<0.05).结论 清黄颗粒具有较好的临床疗效,考虑应用于临床新生儿黄疸的治疗中,以促进患儿疾病的转归.
Effect of Qinghuang Granules on neonatal jaundice
Objective To investigate the effect of Qinghuang Granules on neonatal jaundice.Methods A total of 144 children with neonatal jaundice admitted to Shandong Provincial Third Hospital from January to December 2021 were selected,and they were divided into control group and observation group by random number table method,with 72 cases in each groups.The control group was given blue light treatment,and observation group was combined with Qinghuang Granules oral on the basis of control group,and the treatment period was five days.The clinical effect of two groups was compared;serum total bilirubin,direct bilirubin,indirect bilirubin,immunoglobulin(Ig)A,IgG,and jaundice index were compared between two groups before and after treatment;the duration of jaundice resolution,the duration of blue light treatment,the cost of blue light treatment,and the length of hospital stay were compared between two groups;and the occurrence of adverse reactions during treatment was recorded in both groups.Results The clinical effect of observation group was better than that of control group(P<0.05).After treatment,the levels of total bilirubin and indirect bilirubin in two groups were lower than those before treatment,and those of observation group were lower than those of control group(P<0.05);there were no significant differences in the levels of direct bilirubin between two groups before and after treatment(P>0.05).After treatment,the levels of IgA and IgG were higher than those before treatment,and those of observation group were higher than those of control group(P<0.05).After treatment,the jaundice index of two groups were lower than those before treatment,and those of observation group were lower than those of control group(P<0.05).The duration of jaundice resolution,the duration of blue light treatment,and the length of hospital stay in observation group were shorter than those in control group,and the cost of blue light treatment was lower than that in control group(P<0.05).The total incidence of adverse reactions in observation group was lower than that in control group(P<0.05).Conclusion Qinghuang Granules has a good clinical effect,so it is considered to be applied in the treatment of neonatal jaundice in order to promote the outcome of the disease.

Neonatal jaundiceJaundice indexQinghuang GranulesImmune function

卢立欣、宋超、冯金鹰

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山东省立第三医院药学部,山东济南 250031

新生儿黄疸 黄疸指数 清黄颗粒 免疫功能

山东省中医药科技项目

2020M045

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(12)
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