中西医结合治疗新生儿呼吸窘迫综合征52例临床观察

Clinical observation of integrative medicine on 52 cases of neonatal respiratory distress syndrome

目的观察中西医结合治疗新生儿呼吸窘迫综合征的临床疗效。方法将84例新生儿呼吸窘迫综合征患儿随机分为对照组和治疗组,对照组32例采用西医常规治疗,治疗组52例在对照组治疗的基础上结合中药通瘀灌肠液进行灌肠治疗。治疗结束后观察2组患儿的呼吸频率、血气分析、X线胸片的变化情况和临床疗效。结果治疗组总有效率为80.8%,死亡率为7.7%;对照组总有效率为68.8%,死亡率为15.6%。2组总有效率和死亡率比较,差异均有统计意义(P<0.05)。结论中西医结合治疗新生儿呼吸窘迫综合征可提高临床疗效,减少死亡率,值得临床推广。

Objective To investigate the clinical efficacy of integrative medicine on neonatal respiratory distress syndrome. Methods 84 cases of patients with neonatal respiratory distress syndrome were randomly divided into a control and a treatment group. The control group of 32 patients used conventional western medicine, the 52 cases in the treatment group, based on the above treatment, were additionally given enema method by Tongyu Guanehang Ye. The blood gas analysis, X-ray chest radiography, the leucocytic changes in peripheral blood and the clinical efficacy in two groups were observed after the treatment. Results The total effective rate in the treatment group was 80.8% and the mortality rate was 7.7%, the total effective rate in the control group was 68.8% and the mortality rate was 15.6%. Comparing the total effective rates and the total mortality rates in two groups, the differences were statistically significant （P〈0.05）. Conclusion In the treatment of neonatal respiratory distress syndrome, integrative medicine can improve the clinical efficacy and reduce the mortality rate, worthy of promotion.