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传统疗法(骆驼刺、播娘蒿和糖水)对特发性新生儿黄疸的影响

The Effect of Traditional Remedies (Camel's Thorn, Flixweed and Sugar Water) on Idiopathic Neonatal Jaundice.

作者信息

Boskabadi Hassan, Maamouri Gholamali, Mafinejad Shahin

机构信息

Neonatal Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Iran J Pediatr. 2011 Sep;21(3):325-30.

Abstract

OBJECTIVE

Jaundice is the most common reason of newborn's admission to neonatal ward. Many Iranian families give traditional remedies like sugar water, camel's thorn and flixweed extracts to breast-fed babies for reducing jaundice. This study investigated the effect of traditional remedies on idiopathic neonatal jaundice.

METHODS

This prospective study has been performed on 336 babies with idiopathic jaundice in a four year period (2005-2009) at Ghaem hospital, Mashhad, Iran. The babies were divided into two groups. In case group (n=234) breast-fed babies received no remedy and in control group (n=102), traditional remedies were given additional to breast milk and the results recorded and compared.

FINDINGS

In the present study significant differences were observed between the two groups in age of admission (6.8±3.2 vs 9.2±3.7 day, P<0.001), serum bilirubin values (17.8 vs 21.3 mg/dl, P<0.001) and percent of weight loss (P<0.01). There were no significant differences between the two groups in birth weight, sex, gestational age and duration of hospitalization, age at jaundice remission, hematocrit value and maternal factors (age, gestational order, pregnancy and labor problems)(P>0.05).

CONCLUSION

Traditional remedies (camel's thorn, flixweed and sugar water) cause more weight loss and delayed reexamination of newborns leading to increased hyperbilirubinemia. These remedies may raise pseudo confidence in parents, which postpones reexamination and follow up of the newborns.

摘要

目的

黄疸是新生儿入住新生儿病房最常见的原因。许多伊朗家庭会给母乳喂养的婴儿服用传统疗法,如糖水、骆驼刺提取物和播娘蒿提取物来减轻黄疸。本研究调查了传统疗法对特发性新生儿黄疸的影响。

方法

本前瞻性研究在伊朗马什哈德加姆医院对336例特发性黄疸婴儿进行了为期四年(2005 - 2009年)的研究。将婴儿分为两组。病例组(n = 234)母乳喂养的婴儿未接受任何疗法,对照组(n = 102)除母乳喂养外还给予传统疗法,并记录和比较结果。

结果

在本研究中,两组在入院年龄(6.8±3.2对9.2±3.7天,P<0.001)、血清胆红素值(17.8对21.3mg/dl,P<0.001)和体重减轻百分比(P<0.01)方面存在显著差异。两组在出生体重、性别、胎龄、住院时间、黄疸消退年龄、血细胞比容值和母亲因素(年龄、妊娠顺序、妊娠和分娩问题)方面无显著差异(P>0.05)。

结论

传统疗法(骆驼刺、播娘蒿和糖水)会导致更多体重减轻,并延迟新生儿复查,从而导致高胆红素血症增加。这些疗法可能会提高父母的虚假信心,从而推迟新生儿的复查和随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5ab/3446180/34ad68cefc89/IJPD-21-325-g001.jpg

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