高压氧联合茵栀黄口服液治疗儿童湿热郁蒸证感染性黄疸的临床效果

Clinical effect of hyperbaric oxygen combined with Yinzhihuang oral liquid on treatment of children with infectious jaundice with damp-heat stagnation syndrome

  • 摘要: 目的 探讨高压氧、茵栀黄口服液联合治疗湿热郁蒸证感染性黄疸患儿效果。方法 选取2018年5月-2020年5月医院湿热郁蒸证感染性黄疸患儿104例采取病例对照研究,以随机数字表将患儿分为研究组、对照组,各52例。常规治疗基础上,对照组予以高压氧,研究组予以高压氧配合茵栀黄口服液,均治疗1周。比较两组疗效、症状改善时间、住院时间、不良反应与治疗前、治疗1周后黄疸指数、新生儿行为神经评估(NBNA)评分、血清炎症因子肿瘤坏死因子-α(TNF-α)、C-反应蛋白(CRP)、降钙素原(PCT)、非结合胆红素(UCB)、转铁蛋白(TRF)、白蛋白(ALB)水平。结果 研究组总有效率为90.38%高于对照组71.15%,治疗1周后黄疸指数低于对照组,黄疸消退、胎便排空及住院时间均短于对照组(P<0.05);与治疗前比较,治疗1周后两组NBNA评分与血清TRF水平均升高,且研究组升高更显著,血清TNF-α、CRP、PCT、UCB、ALB水平均降低,且研究组降低更明显(P<0.05)。结论 高压氧、茵栀黄口服液联合治疗湿热郁蒸证感染性黄疸临床疗效显著,在改善患儿黄疸症状、促进神经发育方面具有积极作用,同时能减轻机体炎症反应,促进胆红素代谢,调节UCB、TRF、ALB表达,加快患儿康复。

     

    Abstract: OBJECTIVE To explore the effect of the combined treatment of hyperbaric oxygen and Yinzhihuang oral liquid in children with infectious jaundice with damp-heat stagnation syndrome. METHODS A prospective randomized controlled study of 104 children with infectious jaundice with damp-heat stagnation syndrome in the hospital from May 2018 to May 2020 was selected. The children were divided into a study group and a control group using a random number table, with 52 cases in each group. On the basis of conventional treatment, the control group was given hyperbaric oxygen, and the study group was given hyperbaric oxygen combined with Yinzhihuang oral liquid for 1 week. The efficacy, time of symptom improvement, length of hospitalization, and incidence of adverse reactions, the jaundice index, neonatal behavioral neurological assessment(NBNA) score, serum inflammatory factors tumor necrosis factor-α(TNF-α), C-reactive protein(CRP), procalcitonin(PCT), unconjugated bilirubin(UCB), transferrin(TRF) and albumin(ALB) before treatment and 1 week after treatment were compared between the two groups. RESULTS The total effective rate of the study group was 90.38%, higher than the 71.15% of the control group. After 1 week of treatment, the jaundice index was lower than that of the control group. The jaundice subsided, meconium emptying and hospital stay were significantly shorter than those of the control group(P<0.05). Compared with before treatment, the NBNA scores and serum TRF levels in the two groups after 1 week of treatment increased, and the increase in the study group was more significant, and the levels of serum TNF-α, CRP, PCT, UCB, and ALB decreased, and the decrease in the study group was more significant(P<0.05). CONCLUSION The combination of hyperbaric oxygen and Yinzhihuang oral liquid had a significant clinical effect in the treatment of infectious jaundice with damp-heat stagnation syndrome. It had a positive effect on improving the symptoms of jaundice in children and promoting neurodevelopment. At the same time, it can reduce the body’s inflammatory response, promote bilirubin metabolism. At the same time, it could reduce inflammation in the body, promote bilirubin metabolism, regulate the expression of UCB, TRF, and ALB, and speed up the recovery of children.

     

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