常乐康联合蓝光疗法治疗新生儿黄疸分析.docVIP

常乐康联合蓝光疗法治疗新生儿黄疸分析 　　[摘要] 目的 探讨常乐康联合蓝光疗法治疗新生儿黄疸的临床疗效。 方法 将整群选取该院2014年1月―2015年1月治疗的136例新生儿黄疸随机分为对照组和观察组各68例，两组均给予保暖、蓝光治疗、能量支持治疗，观察组加用常乐康治疗，观察两组方法的疗效。 结果 对照组有效率88.23%，明显低于观察组97.05%，且治疗时间（8.4±1.2） d，明显高于观察组（6.2±1.1） d； 观察组平均每日下降65.43 μmol/L，高于对照组49.99 μmol/L。血清胆红素下降显著（至77.5±4.7），明显低于对照组（至85.4±5.1），差异有统计学意义（P0.05）。 结论 常乐康联合蓝光治疗总有效率提高，疗效更好，住院时间大大缩短，无不良反应，经济实用，值得推广。 　　[关键词] 常乐康；蓝光；新生儿黄疸 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2015）09（b）-0129-02 　　[Abstract] Objective To observe the clinical effect of changlekang combined with blue light therapy in the treatment of jaundice of newborn. Methods 136 cases of neonatal jaundice in our hospital were divided into two groups and both were 68 cases： observation group and control group. The two groups were given warm， blue light treatment， supportive treatment， while observation group treated with changlekang. Results The effective rate of control group was 88.23%， significantly lower than that of observation group and the treatment time was significantly higher than the observation group. The average daily decline of the observation group was 65.43μmol/L，while control group was 49.99μmol/L. The serum bilirubin of observation group was significantly decreased and was lower than the control group. The difference was statistically significant （P0.05）. Conclusion Changlekang combined with blue light treatment improve the efficiency. The average hospitalization of observation group was 6.2 days， while control group was 8.4 days， having significant difference （P0.05）. Chang lekang can improve curative effect of treatment of newborn， shorten the hospitalization time， no adverse reaction， economical and practical and worthy of promotion. 　　[Key words] Changlekang； Blue light； Jaundice of newborn 　　新生儿黄疸是新生儿常见症状，生理性黄疸一般情况，2周内消退；病理性黄疸多需治疗才能消退，重者可引起胆红素脑病，与神经细胞结合，造成神经系统损害，严重威胁患儿健康，甚至危及生命。因此，治疗病理性黄疸，尤其是早期及时治疗尤为重要。 2014年1月―2015年1月，该院采用常乐康联合蓝光照射应用于新生儿黄疸，收到较好效果，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　整群选择该院收治的新生儿黄疸患儿136例为研究对象，所有对象均符合新生儿病理性黄疸诊断标准[