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1、儿泻停颗粒佐治婴幼儿抗生素相关性腹泻临床分析摘要:0的观察儿泻停颗粒佐治婴幼儿抗生素相关性腹泻的临床疗效。方法采用随机、开放、平行对照的临床试验方法,连续纳入180例2013年1月〜2014年12月在我院消化专科考虑抗生素相关性腹泻病的患儿,随机分成A酪酸梭菌组、B儿泻停组、C酪酸梭菌+儿泻停组,三组均口服蒙脱石散、0RS治疗,及其他对症处理,观察并比较治疗后第3d及第5d的疗效及药物相关不良反应。结果169例完成了观察,其中A组56例,B组55例,C组58例,三组患儿在年龄、性别构成、体重、病程、病情
2、轻重程度等方面均无统计学差异(P〉0.05),三组第3d和第5d的治愈率分别为A组16.07%、28.57%,B组14.55%、25.45%,C组25.86%、43.10%;总有效率分别为A组55.36%、67.86%,B组49.09%、67.27%,C组68.97%、81.03%。运用SAS9.3软件,以A组力对照组进行单因素与多因素logistic回归分析,经校正其他变量后,C组第3d0R治愈(95%C1)=3.796(1.163,12.386),OR有效(95%CI)=2.926(1.212,7.
3、061),第5dOR治愈(95%CI)=2.453(1.013,5.942),OR有效(95%CI)=3.163(1.153,8.679),提示C?M疗效优于A组,B组与A组疗效差异无统计学意义,观察期间未见明显药物相关不良反应。结论儿泻停颗粒治疗婴幼儿抗生素相关性腹泻疗效与酪酸梭菌相似,儿泻停颗粒联合酪酸梭菌治疗的效果优子酪酸梭菌治疗组,可使婴幼儿抗生素相关性腹泻治愈的概率增加,安全性好。关键词:儿泻停颗粒;酪酸梭菌;抗生素相关性腹泻Abstract:ObjectiveToobserveErxieti
4、ngGranuletreatmentinfantsandyoungchildrentheclinicalcurativeeffectofantibioticassociateddiarrhea.MethodsAdoptsrandomized,open,parallelcontrolledclinicaltrialmethod,continuousin180casesbetweenJanuary2013andDecember2013inourhospitalduringdigestioncollegeco
5、nsiderantibioticassociateddiarrheadiseaseinchildren,randomlydividedintoAsetofbutyricacidbacteria,sonxietinggroupB,groupC+sonxietingbutyricacidbacteria,threegroupsalloralmontmorillonitepowder,ORStreatment,andothersymptomatictreatment,observeandcomparethec
6、urativeeffectof3daysand5daysaftertreatment,anddrugrelatedadversereactionResults169patientscompletedtheobservation,including56casesofgroupA,Bgroupof55cases,58casesofgroupC,threegroupsofchildreninage,gender,weight,duration,anddegreeofillnessweighthadnostat
7、isticaldifference(P>0.05),thecurerateofthreegroupsof3and5daysrespectively16.07%,28.57%ofgroupA,groupBwere14.55%,25.45%,25.86%,43.10%;groupCTotaleffectiverateingroupAwererespectively55.36%and67.86%,Bgroupwere49.09%,67.27%,68.97%,C81.03groupC%,usingSAS9.3s
8、oftware,withAgrouptothecontrolgroupcarriesonthesinglefactorandmultiplefactorslogisticregressionanalysis,aftercorrectionforothervariables,ORcurc3daystogroupC(95%CI)=3.796(1.163,1.163),OReffective(95%CI)=2.926(1.212,1.212),5