沙枣治疗婴幼儿急性腹泻病的临床研究.doc

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1、沙枣治疗婴幼儿急性腹泻病的临床研究作者：多里坤・木扎帕尔，吐尔逊娜依・玉山，古丽娜尔・乌拉孜别克【关键词】婴幼儿；腹泻；沙枣　　［摘要］目的：观察比较沙枣与思密达辅助治疗婴幼儿腹泻的疗效。方法：300例急性非重症腹泻病患儿随机分为两组：A组150例用沙枣干粉剂，B组150例用思密达治疗。结果：治疗72h，A、B两组大便总次数分别减低64.1%和63.3%；每日平均次数较治疗前明显减少（u=9.5，P<0.001），A组水样便由治疗前的72.5%减少至27.5%，脱水

2、患者由75.2%减少为24.8%，与B组结果相近（t=0.74，P＝0.4），与治疗前比较差异有统计学意义(u=10.2，P<0.001)；每次平均大便量分别减少65.4%和60.0%，差异有统计学意义（t=2.63，P<0.05）。A组和B组每日ORS量分别与治疗初期相比差异有统计学意义(u=10.5，P<0.001)，两组间比较差异有统计学意义（t=4.5，P<0.001）。结论：沙枣能减轻腹泻的程度，缩短病程，在减少大便量和ORS的摄入量方面优于思密达。　　［关键词］婴幼儿；腹泻；沙

3、枣　　AclinicalstudyonthetreatmentofElaeagnusangustifoliaininfantswithacutewaterydiarrhea　　［Abstract］Objective:Inordertoexploreacheaperandeffectivetherapyfortheacuteinfantilewaterydiarrheaintheunderdevelopedruralareas,wecomparedthetherapeuticeffectoftheElaeagnus

4、angustifolia(EA)withSmectaonacuteinfantilewaterydiarrhea.Methods:The300pediatricpatientswithacutenonseverewaterydiarrheawererandomlydividedintotwogroups,patientsingroupA(150cases)weretreatedwithEApowderplusORS,whilepatientsingroupB(150cases)withSmectaplusORS.

5、Results:After72hs'treatmentthetotalstoolfrequencyreducedby64.1%and63.3%intwogroupsrespectively,withtheaveragefrequencyofstoolperdayreducedsignificantlycomparedwithpretreatmentwhichshowedasignificantstatisticaldifference(u=9.5,P<0.001).Thepercentageofthewat

6、erydiarrheawasdecreasedfrom72.5%to27.5%in　groupA.Besides,theproportionofthecaseswithmildandmoderatedehydrationwasdecreasedfrom75.2%to24.8%.ThesimilarresultswereingroupB(χ2=0.7,P＝0.4).Therewasn'tanystatisticallysignificantdifferencebetweenthesetwogroups.Averag

7、evolumeofdiarrheapertimereducedby65.4%and60.0%(t=2.63,P<0.01)respectively.ThedosageofORSintakeforthepatientsshowinga4significantlystatisticaldifference(u=10.5,P<0.001)thanthatoftheearlierstageofdisease,therewassignificantlystatisticaldifferenceintwogrou

8、ps(t=4.5,P<0.001).Conclusions:EAhadthesameclinicaltherapeuticeffectivenesswithSmectaintreatingacuteinfantilewaterydiarrhea;EAcouldreducebothseverityanddurationsofdiarrheadisease,andsup