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目的 :探讨临床四种方案治疗新生儿黄疸的疗效及对相关生化指标的影响。方法 :120例新生儿病理性黄疸患儿随机分为A组、B组、C组、D组,各组30例,A组予蓝光照射治疗,B组予蓝光照射联合茵栀黄口服液治疗,C组在B组基础上加用布拉氏酵母菌散口服,D组在B组基础上加用双歧杆菌三联活菌散口服。评定四组治疗疗效,并检测相关相关生化指标水平的差异。结果 :C组、D组临床总有效率93.33%、90.00%显著高于A组、B组60.00%、66.67%。四组治疗前各项血清胆红素、心肌酶谱及T淋巴细胞指标水平比较无统计学意义,治疗后各项血清胆红素、心肌酶谱及T淋巴细胞指标水平均显著改善,与治疗前相比有统计学意义;治疗后A组、B组、D组、C组血清总胆红素(TBIL)、直接红素(DBIL)水平依次显著降低,以C组降低最显著,各组相比有统计学意义;C组、D组乳酸脱氢酶(LDH)、肌酸激酶(CK)、肌酸激酶同功酶(CK-MB)水平显著低于A组、B组,且CD3+、CD4+、CD4+/CD8+均显著高于A组、B组。结论 :在蓝光照射、茵栀黄口服液等常规治疗基础上加用布拉氏酵母菌散或双歧杆菌三联活菌散治疗新生儿黄疸的临床疗效显著,可有效改善患儿血清胆红素及心肌酶水平,提高免疫。
Objective: To investigate the clinical efficacy of four different regimens in the treatment of neonatal jaundice and the related biochemical parameters. Methods: One hundred and twenty cases of neonatal pathological jaundice were randomly divided into group A, group B, group C and group D, with 30 cases in each group. Group A received blue light irradiation and group B received blue light combined with Yinzhihuang Oral Liquid , Group C was given oral administration of B larvae on the basis of group B, and group D was given oral administration of live bifidobacterium triple combined oral in group B on the basis of group B. The curative effects of the four groups were evaluated and the differences of related biochemical indexes were tested. Results: The total clinical effective rate in group C and group D was 93.33% and 90.00% respectively, which was significantly higher than that in group A and 60.00% and 66.67% respectively in group B. The levels of serum bilirubin, myocardial enzymes and T lymphocyte index in the four groups before treatment did not reach statistical significance. After treatment, the levels of serum bilirubin, myocardial enzymes and T lymphocyte indexes were significantly improved, The levels of TBIL and DBIL in group A, group B, group D and group C after treatment were significantly lower than those in group C, and decreased significantly in group C (LDH, CK, CK-MB) in group C and group D were significantly lower than those in group A and group B. CD3 + , CD4 +, CD4 + / CD8 + were significantly higher than the A group, B group. Conclusion: The curative effect of neonatal jaundice on treating the neonatal jaundice is better than that of routine treatment of Blu-ray irradiation and Yinzhihuang oral liquid, And myocardial enzyme levels, improve immunity.