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目的探讨中药三黄汤、茵栀黄联合西药、蓝光照射等联合治疗新生儿黄疸的临床疗效。方法轻度:三黄汤加鲁米那、强的松口服治疗三天,中重度:茵栀黄加白蛋白、强的松、维生素、鲁米那、蓝光照射等。结果 31例轻度患儿给予三黄汤加鲁米那治疗后黄疸消退时间3-4天23例,5-6天8例,血清总胆红素平均6天降到正常值;137例中重症患儿,茵栀黄加白蛋白、强的松、维生素、鲁米那、蓝光照射后嗜睡、呕吐消失,二便正常,皮肤及巩膜黄染6-20天消退,血清总胆红素平均6-8天(105例)、8-10天(24例)、10-18天(8例)降到正常。结论早期发现并早期应用中药配合西药综合治疗新生儿黄疸,可以明显缩短病程并预防核黄疸发生。
Objective To investigate the clinical efficacy of Sanhuang Decoction, Yinzhihuang combined with western medicine and blue light irradiation in the treatment of neonatal jaundice. Mild: Three yellow soup Garuminer, prednisone oral treatment for three days, moderate to severe: Yin Zhihuang plus albumin, prednisone, vitamins, luminal, blue light and so on. Results 31 cases of mild children given sanhuang decoction of luminol jaundice time after treatment in 3-4 days, 23 cases, 5-6 days in 8 cases, serum total bilirubin averaged 6 days to normal; 137 cases of severe Children, Yinzhihuang plus albumin, prednisone, vitamins, luminal, blue light irradiation lethargy, vomiting disappeared, two will be normal, the skin and sclera yellow dye subsided 6-20 days, serum total bilirubin average 6 -8 days (105 cases), 8-10 days (24 cases), 10-18 days (8 cases) to normal. Conclusion Early detection and early application of traditional Chinese medicine combined with Western medicine treatment of neonatal jaundice, can significantly shorten the duration and prevent the occurrence of nuclear jaundice.