蓝光、鲁米那、茵桅黄治疗新生儿高胆红素血症的价值探讨

Analysis of value of phototherapy,luminal,Yinzhihuang in treating neonatal hyperbilirubinemia

目的 探讨蓝光治疗新生儿高胆红素血症的价值及加用鲁米那或茵桅黄对新生儿高胆红素血症的治疗价值。方法 1998～ 2 0 0 1年我科住院治疗的新生儿高胆红素血症患儿 ,按治疗方案不同分为 4组 (蓝光治疗组、蓝光+鲁米那组、蓝光 +茵桅黄组、蓝光 +鲁米那 +茵桅黄组 ) ,比较 4组患儿的黄疸消退时间、平均每天血清胆红素下降值。结果 4组患儿的黄疸消退时间 ,平均每天血清胆红素下降值间的差别均无显著性意义 (P >0 0 5 )。结论 蓝光治疗新生儿高胆红素血症是有效的 ,加用鲁米那或茵桅黄对新生儿高胆红素血症的疗效无明确增强作用。

Objective To analysis the value of phototherapy in treating neonatal hyperbilirubinemia as well as together with luminal or Yinzhihuang.Methods The neonates with hyperbilirubinemia in our department from Jan.1998 to Dec.2001 were divided into four groups.Patients of each group were respectively treated with phototherapy alone,phototherapy together with luminal,with Yinzhihuang and with both of them.The speed of jaundice-subsiding and descent index of the serum bilirubin level among four groups were compared everyday.Results There is no notable difference between each group in observing the above two items (P>0.05).Conclusion The phototherapy is safe and effective in treating neonatal hyperbilirubinemia,and there is no definite value in combing phototherapy with luminal or Yinzhihuang.