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                    1. 当前位置: 代写一篇论文多少钱 > 医学论文 > 自拟退黄药浴方治疗高胆红素血症患儿的疗效

                      自拟退黄药浴方治疗高胆红素血症患儿的疗效

                      时间:2019-03-04 11:16作者:任颖俊 胡玮 陈仙丹
                      本文导读:这是一篇关于自拟退黄药浴方治疗高胆红素血症患儿的疗效的文章,新生儿高胆红素血症(NHB)是由于诸多因素导致新生儿血清中胆红素生成过多,肝脏代谢障碍、胆红素排泄障碍等引起患儿胆红素水平异常升高,主要以皮肤、黏膜和巩膜黄染为主要临床表现。

                      棋牌大全下载安装   XINSHENGERGAODANHONGSUXUEZHENG(NHB)SHIYOUYUZHUDUOYINSUDAOZHIXINSHENGERXUEQINGZHONGDANHONGSUSHENGCHENGGUODUO,GANZANGDAIXIEZHANGAI、DANHONGSUPAIXIEZHANGAIDENGYINQIHUANERDANHONGSUSHUIPINGYICHANGSHENGGAO,ZHUYAOYIPIFU、NIANMOHEGONGMOHUANGRANWEIZHUYAOLINCHUANGBIAOXIAN[1]。GAIBINGSHIXINSHENGERDECHANGJIANJIBING,SHUJUTONGJINHBDEFASHENGLVWEIJIANKANGZUYUEERDE66.7%,YUEZHANXINSHENGERZHUYUANJIBINGZONGFASHENGLVDE40%[2]。RUOWEIJISHIZHILIAOHUIDAOZHIHUANERSHENJINGSUNHAIHEGONGNENGCANJI,YINGXIANGHUANERZHILIFAYU[3]。MUQIANZHILIAOBAOKUOYINGYANGZHICHI、BAOWEN、LANGUANGZHAOSHEDENGZHILIAOYIHUANJIEHUANERLINCHUANGZHENGZHUANG,SUIYOUYIDINGLINCHUANGLIAOXIAO,DANQIYOUDAIJINYIBUTIGAO。YANJIUXIANSHICHUANTONGZHONGYIYAOTONGGUO“NEIBINGWAIZHI”FANGFAZHILIAOGAIBINGLIAOXIAOLIANGHAO[4]。BIZHEZAILANGUANGZHAOSHEJICHUSHANGYINGYONGZINITUIHUANGYAOYUFANGZHILIAONHBHUANERHUODELIANGHAOLIAOXIAO,XIANBAODAORUXIA。

                        1、 临床资料

                        1.1、 一般资料

                      棋牌大全下载安装   XUANZEYONGKANGSHIFUYOUBAOJIANYUANERTONGKANGFUKEHEERKE2017NIAN6YUE—2018NIAN6YUESHOUZHIDE98LINHBHUANERZUOWEIGUANCHADUIXIANG。CAIYONGSUIJISHUZIBIAOFAJIANGQIFENWEIDUIZHAOZUYUGUANCHAZU,MEIZUGE49LI。2ZUHUANERYIBANZILIAOBIJIAOCHAYIWUTONGJIXUEYIYI(JUNP>0.05),ZUJIANJUYOUKEBIXING,JUTIJIANBIAO1。

                        1.2、 诊断标准

                      棋牌大全下载安装   CANZHAODI4BAN《SHIYONGXINSHENGERXUE》[5]ZHONGXIANGGUANZHENDUANBIAOZHUN。

                        1.3 、纳入标准

                        1)符合上述诊断标准;2)年龄2~20 d;3)入院前未接受相关治疗;4)患儿家长知情同意。
                       

                      自拟退黄药浴方治疗高胆红素血症患儿的疗效
                       

                        1.4、 排除标准

                      棋牌大全下载安装   1)RONGXUESUOZHIHUANGDAN;2)HEBINGLUNEIGANRAN、BAIXUEZHENG、ZHONGZHENGFEIYANDENGBINGZHENGZHE;3)XIANTIANXINGDANDAOBISUO、DANZONGGUANNANGZHONGDENGGANYANZONGHEZHENGHUOGANDANWAIKEJIBING。

                        表1 2组NHB患儿一般资料比较
                      表1 2组NHB患儿一般资料比较

                        2 、方法

                        2.1、 治疗方法

                        DUIZHAOZUHUANERJIYULANGUANGZHAOSHEZHILIAO[5],12 h/CI,MEICIJIANXIE12 h,LIANXUZHILIAO1ZHOU;ZHUYIBAOHUHUANERWAISHENGZHIQIYIJISHUANGYAN。GUANCHAZUZAILANGUANGZHAOSHEJICHUSHANGJIAYONGZINITUIHUANGYAOYUFANGZHILIAO,JUTIFANGYAOZUCHENGRUXIA:YINCHEN、ZHIZI、JINEIJINGE15 g,DAHUANG10 g,JIANGZHONGYAOYINPIANDAFEN,ZHUANGDAIBEIYONG。SHIYONGSHI,KAISHUICHONGPAO,DAORUXIYUCHISUOBEIWENSHUIZHONG,MEICIYAOYU15~25 min,YAOYEWENDUZAI38~40℃。1CI/d,LIANXUXIYU1ZHOU。

                        2.2 、观察指标

                        1)GUANCHA2ZUHUANERSHOUCIPAIBIANSHIJIAN、HUANGRANXIAOTUISHIJIAN;2)XUEQINGZONGDANHONGSU(TBil)、XINJIMEICEDING:2ZUHUANERJUNYUZHILIAOQIAN、HOUQINGCHENCHOUQUKONGFUJINGMAIXUE5 m L,LIXIN10 min,FENLICHUXUEQING,CAIYONGQUANZIDONGSHENGHUAFENXIYIJIANCEXUEQINGZHONGZONGDANHONGSUHEXINJIMEIMENDONGANSUANANJIZHUANYIMEI(AST)、JISUANJIMEITONGGONGMEI(CKMB)、RUSUANTUOQINGMEI(LDH)DENGZHIBIAO。

                        2.3、 统计方法

                        JILIANGZILIAOYI(±s)BIAOSHI,CAIYONGtJIANYAN;JISHUZILIAOYONGχ2JIANYAN。SUOYOUSHUJUCAIYONGSPSS 22.0JINXINGSHUJUFENXI,P<0.05BIAOSHICHAYIYOUTONGJIXUEYIYI。

                        3、 结果

                        3.1 、2组患儿首次排便时间、黄疸消退时间比较

                        2ZUHUANERZHILIAOHOU,GUANCHAZUHUANERDESHOUCIPAIBIANSHIJIANYIJIHUANGDANXIAOTUISHIJIANJUNMINGXIANDUANYUDUIZHAOZU(JUNP﹤0.05)。JIEGUOJIANBIAO2。

                        表2 2组患儿首次排便时间、黄疸消退时间比较(±s)
                      表2 2组患儿首次排便时间、黄疸消退时间比较(±s)

                        ZHU:YUDUIZHAOZUBIJIAO,*P<0.05

                        3.2、 2组患儿治疗前后血清总胆红素及心肌酶检测结果比较

                      棋牌大全下载安装   ZHILIAOHOU2ZUHUANZHEDETBil、AST、CKMB、LDHSHUIPINGJUNJIAOZHILIAOQIANJIANGDI(JUNP<0.05),GUANCHAZUJIAODUIZHAOZUXIAOGUOMINGXIAN(JUNP<0.05)。JIANBIAO3。

                        表3 2组患儿治疗前后血清TBil、心肌酶水平比较(±s)
                      表3 2组患儿治疗前后血清TBil、心肌酶水平比较(±s)

                        ZHU:YUBENZUZHILIAOQIANBIJIAO,△P<0.05;YUDUIZHAOZUZHILIAOHOUBIJIAO,*P<0.05

                        4、 讨论

                        GAODANHONGSUXUEZHENGSHIXINSHENGERQIDECHANGJIANJIBINGZHIYI,BUJINYINGXIANGHUANERZHILI、TINGLI、SHIJUE,HAIKESUNSHANGDUOGEBAQIGUAN,YANZHONGZHEKEWEIXIESHENGMING。ZHUDUOYANJIUXIANSHIHUANGDANBUJINSUNSHANGDANAOJISHENJINGXITONG,TONGSHIHAISUNSHANGQITAZHUDUOZANGQI,YOUQISHIXINJI[6]。XINJISHOUSUNDEPINGGUZHUYAOTONGGUOXINJIMEISHUIPINGTIXIAN[7]。ASTZHUYAOFENBUZAIGANZANG、XINJIXIBAOZHONG,DANGGANZANG、XINJIXIBAOSHOUSUNSHI,XUEQINGZHONGASTSHENGGAO[8]。CKMBJUYOUXINJITEYIXING,XINJIXIBAOSHOUSUNHOU,XUEQINGZHONGCKMBMINGXIANSHENGGAO[9]。LDHSHIXINJISUNSHANGJIANCEDEMEIXUEZHUYAOZHIBIAO。DANHONGSUSHUIPINGDEYICHANGKEZHIJIEHUOZHEJIANJIEGAIBIANXINJIJIEGOU,CONGERSHIXIBAONEICKMB、LDHSHUIPINGZENGGAO。

                        XINSHENGERGAODANHONGSUXUEZHENGSHUYUZHONGYIXUE“TAIHUANG”FANCHOU,YOUYUHUANERCHUSHENGZHIHOU,HUOTAICHANZHISHI,HUOYUNMUTINEIYUNSHIRECHUANYUTAIER,XIEQIXUNZHENGGANDAN,ZHIDANZHIWAIYI,FAWEITAIHUANG。ZHILIAOYINGDANGYIQINGLISHIRETUIHUANG。BENWENCAIYONGTUIHUANGYAOYUFANGZHILIAOGAODANHONGSUXUEZHENGHUANER,YAOYULIAOFAYANXULEYUNMUYANGSHUIDEHUANJING,KEYITONGGUOQUANSHENSHUILIAOYUNDONGJIANSHAODANHONGSUCHANGGANXUNHUAN,CIJIZENGJIACHANGRUDONG,CUJINWEICHANGDAOGONGNENGFAYU,ZENGJIADABIANPAIXIE[10]。YOUYUXINSHENGERPIFUJIAONEN,DAIXIEKUAI,DUIYAOWUXISHOUKUAI,KEJIASUXUEQINGZONGDANHONGSUDEPAIXIE;CIWAIYAOWUKEJINGXUEMAI、JINGLUOZHIJIEDIAOJIEZANGFUGONGNENG,FAHUIZHONGYIYAONEIBINGWAIZHIDEYOUSHI[11]。BENYAOYUFANGZHONGYINCHENQINGRELISHI、XIAOTUIHUANGDAN;ZHIZIQINGRELISHI、LIANGXUEJIEDU;XIANDAIYAOLIXUEYANJIUZHENGSHI,YINCHENZHONGHUANGTONGLEI,WEIZIZHONGHUANXIMITIEGANLEIDENGYOUXIAOCHENGFENKEJIANGDIXUEQINGDANGUCHUNJIDANHONGSU,CUJINDANZHIFENMI,BAOHUGANXIBAO[12,13]。DAHUANGQINGLISHIRE,TONGXIAGONGJI,XIANDAIYANJIUDAHUANGZHONGENKUNLEIHUAHEWUJUYOUKANGYAN、YIJUN、CUJINCHANGRUDONG、GAISHANXIAOCHANGPINGHUAJIGONGNENG、JIAKUAICHANGGANXUNHUAN、CUJINDABIANPAICHU、CUJINDANHONGSUDEPAIXIE[14]。JINEIJINZHONGANJISUAN、DANBAIZHIYIJIWEILIANGYUANSUDENGYOUXIAOCHENGFENNENGGOUFENMIXIAOHUAYE,DIAOJIEWEICHANGDAOYUNDONG,BAOHUCHANGDAO,GAISHANDAIXIEJIXUEYELIUBIANXUE[15]。

                        BENWENGUANCHAJIEGUOXIANSHI,2ZUHUANERZHILIAOHOU,GUANCHAZUDESHOUCIPAIBIANSHIJIANYIJIHUANGDANXIAOTUISHIJIANJUNMINGXIANDUANYUDUIZHAOZU(P﹤0.05)。ZHILIAOHOU2ZUHUANERXUEQINGTBilJIXINJIMEIAST、CKMB、LDHSHUIPINGJUNJIAOZHILIAOQIANJIANGDI(P<0.05),GUANCHAZUDIYUDUIZHAOZU(P<0.05)。TISHIZAILANGUANGZHAOSHEJICHUSHANGYINGYONGTUIHUANGYAOYUFANGZHILIAOXINSHENGERGAODANHONGSUXUEZHENG,NENGGOUJIASUHUANGDANXIAOTUI,JUYOUBAOHUXINJIZUOYONG。

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