摘要
目的:探究退黄外洗液外洗联合手指点穴、西医治疗应用于胎黄湿热郁蒸证的临床效果。方法:选取2021年8月—2022年7月梧州市中医医院收治的胎黄湿热郁蒸证新生儿80例为观察对象,根据随机数字表法分为对照组与观察组,各40例。对照组接受常规西医治疗及退黄外洗液外洗,观察组在对照组基础上联合手指点穴。比较两组干预效果。结果:观察组临床疗效总有效率高于对照组,差异有统计学意义(P=0.025);观察组开塞露灌肠次数少于对照组,住院时间短于对照组,差异有统计学意义(P<0.001);治疗后,两组总胆红素(TBiL)水平均降低,观察组低于对照组,差异有统计学意义(P<0.001);治疗前后,两组丙氨酸氨基转氨酶、天门冬氨酸氨基转移酶水平比较,差异无统计学意义(P>0.05)。结论:予以胎黄湿热郁蒸证患儿退黄外洗液外洗联合手指点穴、西医治疗效果理想,可降低TBiL水平,缩短住院时间,减少灌肠次数,不会影响患儿肝功能指标。
Objective:To explore the clinical effect of jaundice-abating lotion for external washing combined with finger pointing manipulation for fetal jaundice with syndrome of stagnation and steaming of damp-heat.Methods:A total of 80 newborns with fetal jaundice with syndrome of stagnation and steaming of damp-heat who were admitted to Wuzhou Hospital of Traditional Chinese Medicine from August 2021 to July 2022 were selected as the study subjects.They were divided into a control group and an observation group according to random number table method,with 40 cases in each group.The control group received routine western medicine treatment and jaundice-abating lotion for external washing.On the basis of control group,the observation group received finger pointing manipulation.The intervention effects of the two groups were compared.Results:The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.025).The number of glycerol enemas in the observation group was lower than that in the control group,and the length of hospital stay in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.001).After treatment,the serum total bilirubin(TBiL)level in the two groups decreased,and the observation group was lower than the control group,and the difference was statistically significant(P<0.001).There was no significant difference in the levels of alanine aminotransferase and aspartate aminotransferase in the two groups before and after treatment(P>0.05).Conclusion:The combination of jaundice-abating lotion for external washing and finger pointing manipulation has ideal effects in treatment of fetal jaundice with syndrome of stagnation and steaming of damp-heat,and can reduce TBiL levels,shorten the length of hospital stay,reduce the number of enemas,and will not affect liver function indexes.
作者
李曦
龚杰清
李明明
Li Xi;Gong Jieqing;Li Mingming(Wuzhou Hospital of Traditional Chinese Medicine,Wuzhou 543000,Guangxi Zhuang Autonomous Region,China)
出处
《中外医药研究》
2023年第35期87-89,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
基金
梧州市科技计划项目(编号:202002177)。
关键词
新生儿
胎黄湿热郁蒸证
中药外洗
手指点穴
Newborn
Fetal jaundice with syndrome of stagnation and steaming of damp-heat
External washing of traditional Chinese medicine
Finger pointing manipulation
