中医辅助治疗新生儿败血症的临床分析

于瑛1，王侃处2

（1.陕西中医药大学附属医院儿科，陕西 咸阳，712021；2.咸阳市彩虹医院儿科，陕西 咸阳，712021）

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摘要：

目的 探讨中医辅助治疗新生儿败血症临床效果。方法 收集咸阳市彩虹医院（以下统称我院）2014 年1 月至2016 年1 月收治的败血症新生儿50 例，按照随机数字表法分为观察组和对照组，各25 例。对照组患儿采用西医对症治疗，使用抗生 素进行针对性治疗；观察组在行对照组治疗方式后，结合中药汤剂治疗；两组均以5 d 为1 疗程，1 疗程后评价疗效。比较治 疗前、后患儿PCT、CRP 水平，白细胞计数及治疗效果。结果 观察组的治疗总有效率高于对照组，差异具有统计学意义（P< 0.05）。治疗前，两组患儿的血清PCT、CRP 水平及白细胞计数比较，差异无统计学意义（P>0.05）。治疗后，两组患儿的血清 PCT、CRP 水平及白细胞计数均降低，且观察组低于对照组，差异均具有统计学意义（P<0.05）。结论 中西医结合治疗新生儿 败血症的效果优于单一的西医治疗方式，值得在临床应用上进行推广。

关键词：中西医结合；西医治疗；新生儿败血症

中图分类号：R722.1文献标志码：A文章编号：2096-1413(2018)03-0131-02

Clinical analysis of TCM aided the treatment of neonatal sepsis


YU Ying1, WANG Kan-chu 2
(1. Pediatrics Department, Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang 712021; 2. Pediatrics Department,

Xianyang Rainbow Hospital, Xianyang 712021, China)

ABSTRACT: Objective To explore the clinical effect of TCM aided the treatment of neonatal sepsis. Methods Fifty cases of neonatal sepsis were collected in Xianyang Rainbow Hospital from January 2014 to January 2016, and divided into observation group and control group according to the random number table method, with 25 cases in each group. Children of the control group were treated with western symptomatic treatment, with the use of antibiotics for targeted treatment; children of the observation group were treated with TCM decoction treatment after the control group treatment method. Five days were a course of treatment in both groups, and the curative effects were evaluated after a course. The level of PCT and CRP, white blood cell count before and after treatment and treatment effects were compared. Results The total effective rate of treatment in the observation group was higher than that of the control group (P<0.05). Before treatment, serum PCT, CRP levels and white blood cell count in the two groups had no significant difference (P>0.05). After treatment, serum PCT, CRP levels and white blood cell counts in both groups decreased, and those of the observation group were lower than the control group (P<0.05). Conclusion The effect of TCM combined with western medicine on neonatal sepsis is better than a single western medical treatment, it is worth promoting in clinical application.
KEYWORDS: TCM combined with western medicine; western medicine; neonatal sepsis

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