【摘要】 目的分析中药熏洗在湿热熏蒸型黄疸的临床疗效。方法方便选取该院2018年12月—2020年12月住院治疗的90例湿热熏蒸型黄疸患儿,根据治疗方法的不同分组,参照组45例患儿采纳蓝光照射治疗,观察组45例患儿在参照组基础上采纳中药熏洗治疗,比较两组临床疗效、中医症状积分、血清胆红素水平、黄疸持续时间、住院时间、治疗费用、不良反应发生率、家属满意度。结果观察组临床总有效率(95.56%)高于参照组(71.11%),差异有统计学意义(χ~2=9.680, P=0.002)。观察组治疗后黄疸、恶心呕吐、乏力倦怠症状积分、血清胆红素水平均低于参照组,差异有统计学意义(t=18.407、16.762、8.942、58.593, P<0.001)。观察组黄疸持续时间、住院时间均短于参照组,观察组治疗费用低于参照组,差异有统计学意义(t=7.138、4.760、16.552, P<0.001)。观察组家属满意度(93.33%)高于参照组(64.44%),差异有统计学意义(χ~2=11.275, P=0.001)。观察组不良反应发生率(4.44%)与参照组(8.89%)比较,差异无统计学意义(χ~2=1.179, P=0.673)。结论中药熏洗可有效缓解湿热熏蒸型黄疸患儿临床症状,降低血清胆红素水平,缩短黄疸持续时间,降低治疗成本,赢得家属认可、赞同,且不良反应较少,安全性较高。更多还原

【Abstract】 Objective To analyze the clinical efficacy of traditional Chinese medicine fumigation and washing in damp-heat fumigation jaundice. Methods Convenience selection 90 children with damp-heat fumigation jaundice who were hospitalized in the hospital from December 2018 to December 2020, grouped according to different treatment methods, 45 children in the reference group received blue light irradiation treatment, observation group 45 patients in the reference group were treated with traditional Chinese medicine fumigation and washing, and the clinical efficacy, TCM symptom score,serum bilirubin level, duration of jaundice, length of stay, treatment cost, incidence of adverse reactions, and satisfaction of family members were compared between the two groups. Results The total clinical effective rate of the observation group(95.56%) was higher than that of the reference group(71.11%), the differences was statistically significant(χ~2=9.680,P=0.002). The scores of jaundice, nausea and vomiting, fatigue, fatigue, and serum bilirubin levels in the observation group after treatment were lower than those in the reference group, the differences were statistically significant(t=18.407, 16.762,8.942, 58.593,P<0.001). The duration of jaundice and the length of hospital stay in the observation group were shorter than those in the reference group, and the treatment cost of the observation group was lower than that in the reference group,the differences were statistically significant(t=7.138, 4.760, 16.552, P<0.001). The satisfaction degree of family members of the observation group(93.33%) was higher than that of the reference group(64.44%), the differences was statistically significant(χ~2=11.275, P=0.001). The incidence of adverse reactions in the observation group(4.44%) was compared with that in the reference group(8.89%), the differences was not statistically significant(χ~2=1.179, P =0.673). Conclusion Traditional Chinese medicine fumigation can effectively alleviate the clinical symptoms of patients with damp-heat fumigation jaundice, reduce serum bilirubin levels, shorten the duration of jaundice, reduce treatment costs, win family recognition and approval, and have fewer adverse reactions and higher safety.更多还原