白蛋白静脉滴注联合茵栀黄颗粒在 新生儿黄疸治疗中的效果分析
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肖勤,女,主治医师,主要从事儿科工作。

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R 722.17

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Analysis of the Effect of Albumin Injection Combined with Yinzhihuang Granules on Neonatal Jaundice
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    摘要:

    摘 要目的:研究新生儿黄疸治疗中联合应用白蛋白静脉滴注与茵栀黄颗粒的疗效。 方法:选取吉安市妇幼保健院 2019 年 7 月至 2022 年 6 月收治的 60 例新生儿黄疸患儿,根据治疗方案的不同分为两组,对照组 30 例给予白蛋白静脉滴注 治疗,观察组 30 例给予白蛋白静脉滴注与茵栀黄颗粒治疗,比较两组患儿基本临床指标、胆红素水平、血清学指标、免疫 功能指标、临床疗效及药物不良反应发生情况。 结果:观察组患儿黄疸消退时间、住院时间均短于对照组,每日便次多于 对照组,差异具有统计学意义(P < 0.05);观察组患儿治疗后胆红素水平、血清学指标水平、CD8+ 水平均低于对照组, CD4+ 水平、CD4+ /CD8+ 高于对照组,差异具有统计学意义(P < 0.05);观察组患儿治疗总有效率高于对照组,差异具有 统计学意义(P < 0.05)。 结论:联合应用白蛋白静脉滴注与茵栀黄颗粒治疗新生儿黄疸,可有效降低胆红素水平,改善 患儿血清学指标与免疫功能,安全性较高。

    Abstract:

    AbstractObjective To study the effect of albumin injection combined with Yinzhihuang granules on neonatal jaundice treatment. Methods 60 cases of neonatal jaundice children admitted to Ji 'an Maternal and Child Health Hospital from July 2019 to June 2022 were divided into two groups according to different treatment plans. 30 cases in the control group were given albumin intravenous injection treatment, and 30 cases in the observation group were given albumin intravenous injection and Yinzhihuang granules treatment. The basic clinical indexes, bilirubin levels, serological indexes, immune function indexes, clinical efficacy and the occurrence of adverse drug reactions were compared between the two groups. Results The duration of jaundice resolution and hospitalization in the observation group were shorter than those in the control group, and the number of stool per day was more than that in the control group, the difference was statistically significant (P < 0.05). After treatment, the levels of bilirubin, serological indexes and CD8+ in the observation group were lower than those in the control group, while the levels of CD4+ and CD4+ /CD8+ were higher than those in the control group, with statistical significance (P < 0.05). The total effective rate of the observation group was higher than that of the control group, and the difference was statistically significant (P < 0.05). Conclusion The combination of albumin injection and Yinzhihuang granules in the treatment of neonatal jaundice can effectively reduce the level of bilirubin, improve the serological index and immune function of children with high safety.

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  • 收稿日期:2023-03-21
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  • 在线发布日期: 2023-08-03
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