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目的:探讨中药日光浴家庭干预降低居家新生儿黄疸水平的效果。方法:将产科出院经皮胆红素测定TCB≥15～18 mg/dL,不愿转入新生儿科治疗的新生儿120例随机分为干预组和对照组各60例。两组家庭干预者(产妇)在孕期均接受孕妇学校、育儿学校的培训。对照组新生儿出院时予茵枝黄针剂及双歧杆菌四联活菌片居家按医嘱口服。干预组在对照组的基础上配合中药(茵陈)日光浴家庭干预,两组居家1周内每天(18∶00—21∶00)采用经皮黄疸测量仪,由课题组成员每2人1组分社区上门负责测定并记录。结果:两组居家新生儿第1～7 d经皮胆红素值、黄疸消退时间及回归新生儿科住院例数比较,干预组明显优于对照组,差异有统计意义。结论:对居家新生儿采用中药日光浴家庭干预能降低黄疸水平。
Objective: To explore the effects of traditional Chinese medicine sunbathing family interventions to reduce jaundice in newborns at home. Methods: The obstetric discharged transcutaneous bilirubin determination of TCB ≥ 15 ~ 18 mg / dL, reluctantly transferred to neonatal treatment of 120 newborns were randomly divided into intervention group and control group of 60 patients. Both groups of family interventions (mothers) received training in pregnant women’s schools and childcare schools during pregnancy. The control group of newborns discharged to the Yinhuang injection and live Bifidobacterium quadruple live at home by oral administration. The intervention group was treated with the sunbathing family intervention of traditional Chinese medicine (capillaris) on the basis of the control group, and the percutaneous jaundice measuring instrument was used daily in the two groups within one week (18:00 to 21:00) Sub-community responsible for measuring and recording. Results: Compared with the control group, the transcutaneous bilirubin value, jaundice remission time and the number of cases returning to the neonatal department in the two groups of newborns at 1 ~ 7 days were significantly better than those in the control group. The difference was statistically significant. Conclusion: Chinese newborn infants with home sunbathing family intervention can reduce the level of jaundice.