茵栀黄口服液辅助治疗新生儿母乳性黄疸的临床观察
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篇名: 茵栀黄口服液辅助治疗新生儿母乳性黄疸的临床观察
TITLE:
摘要: 目的:观察茵栀黄口服液辅助治疗新生儿母乳性黄疸的疗效和安全性。方法: 112例母乳性黄疸新生儿随机均分为对照组和观察组。对照组患儿均停止母乳喂养3 d,采用人工喂养,给予保暖、营养支持、维持水电解质及酸碱平衡、蓝光照射等常规治疗,严重者给予保肝、酶诱导剂等药物治疗;观察组患儿在对照组治疗的基础上给予茵栀黄口服液10 ml,每日2次。两组患儿疗程均为 7 d。观察两组患儿的临床疗效,治疗前后血清总胆红素(TBIL)水平及不良反应发生情况。结果:观察组患儿总有效率显著高于对照组,差异有统计学意义(P<0.05);治疗后,两组患儿TBIL水平均显著低于同组治疗前,均随时间逐渐降低,且观察组低于对照组,差异均有统计学意义(P<0.05)。两组患儿不良反应发生率比较,差异无统计学意义(P>0.05)。结论:在常规治疗的基础上,茵栀黄口服液辅助治疗母乳性新生儿黄疸的疗效较好,且安全性较好。
ABSTRACT: OBJECTIVE:To observe the clinical efficacy and safety of Yinzhihuang oral liquid in the adjuvant treatment of neonatal breast-feeding faundice. METHODS: 112 newborns with faundice were randomly divided into control group and observation group. Control group stopped breast-feeding for 3 d and given artificial feeding, as well as keeping warm, nutritional support, maintaining water and electrolyte and acid-base balance, blue light irradiation and severe patients were given liver protection, enzyme inducers; observation group was additionally given Yinzhihuang oral liquid 10 ml, twice a day. The treatment course was 7 d. Clinical efficacy, and serum total bilirubin (TBIL) level before and after treatment, and incidence of adverse reactions in 2 groups were observed. RESULTS: The total effective rate in observation group was significantly higher than control group, the difference was statistically significant(P<0.05). After treatment, TBIL level in 2 groups was significantly lower than before and gradually decreased with time, and observation group was lower than control group, the differences were statistically significant(P<0.05). The incidence of adverse reactions of 2 groups was no statistically significant(P>0.05). CONCLUSIONS: Based on the conventional treatment, Yinzhihuang oral liquid can be used in the adjuvant treatment of neonatal breast-feeding faundice, with good efficacy and good safety.
期刊: 2015年第26卷第36期
作者: 唐帷微,吕宗杰,王梓,谢茜
AUTHORS: TANG Wei-wei,LYU Zong-jie,WANG Zi,XIE Qia
关键字: 茵栀黄口服液;新生儿;母乳性黄疸;疗效;安全性
KEYWORDS: Yinzhihuang oral liquid; Newborn; Breast-feeding faundice; Efficacy; Safety
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