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1、临床医学论文•免煎中药颗粒敷脐治疗小儿秋季腹泻临床观察【摘要】目的观察加用免煎中药颗粒调敷脐部治疗小儿秋季腹泻临床疗效。方法将123例秋季腹泻患儿随机分为2组。对照组60例采用西医常规治疗,治疗组63例在对照组治疗基础上加用拟定腹泻一号方、二号方免煎中药颗粒剂辨证调敷脐部。2组均3日为1个疗程,1个疗程后评价疗效。结果治疗组总冇效率95.2%,对照组总有效率83.3%,2组比较差异有统计学意义(P<0.05);2组不同中医证型的疗效比较,治疗组湿热泻总有效率97.2%,寒湿泻总有效率92.6%;对照组湿热泻总有效率87.5%,寒湿泻总有效率7
2、8.6%02组同证型总有效率比较差异均有统计学意义(P<0.05)o结论加用免煎中药颗粒外敷脐部治疗小儿秋季腹泻疗效可靠。【关键词】敷脐;腹泻;小儿;屮药疗法Observationofadministrationofumbi1icusofChineseherbpowderonpedo・rotavirusenteritis[Abstracts]ObjectiveToobserveadministrationofumbi1icusofChineseherbpowdcronpedo・rotavirusenteritis.Methods123chil
3、drcnpatientswithrotavirusenteritiswererandomlydividedintotwogroups・Routinewesternmedicinewasusedforpatientsincontrolgroup(n二60)・Combinationofumbi1icusofChineseherbpowder(includingPrescription1,Prescription2)androutinewesternmedicinewasusedforpatientsintrcatmcntgroup(n二63)・A
4、mongumbi1icusofChineseherbpowdcr,Prescription1wasusedforhygropyreticdiarrhea,Prescription1wasusedforcold-dampdiarrhea・Threedayswasacourseintwogroups・ResultsThetotaleffectiverate(95.2%)intreatmentgroupwassignificanthigherthanthatincontrolgroup(83・3%,P<0.05)・Thetotaleffective
5、rate(97.2%)hygropyreticdiarrheaintreatmentgroupwassignificanthigherthanthatinhygropyreticdiarrheacontrolgroup(87.5%,P<0.05).Thetotaleffectiverate(92.6%)cold-dampdiarrheaintrcatmcntgroupwassignificanthigherthanthatincolddiarrheacontrolgroup(78.6%,P<0.05)・ConclusionAdministra
6、tionofumbi1icusofChineseherbpowderisreliableonthetreatmentofpedo-rotavirusenteritis・[KeyWords)Administrationofumbi1icus;Diarrhoea;TCMtherapy秋季腹泻是儿科常见疾病,多发于秋冬季节,为人类轮状病毒感染而致病,发病急,且易病程迁延。2004-09—2004-12,笔者在常规治疗基础上加用免煎中药颗粒敷脐治疗小儿秋季腹泻63例,并与常规治疗60例对照观察,现报告如下。1资料与方法1.1一般资料全部123例为本院
7、儿科住院及门诊的腹泻患儿,随机分为2组。治疗组63例,男35例,女28例;年龄最小3.5个月,最大3岁,平均11.5个月;病程最短1日,最长1周,平均4.50;日大便次数最少5次,最多20余次,平均8次;发热26例;并轻度脱水38例,中度脱水22例,重度脱水3例;中医辨证:湿热泻36例,寒湿泻27例;血白细胞计数均V10.0X109/L,其屮血白细胞计数W4.0X109/L12例。对照组60例,男34例,女26例;年龄最小3个刀,最大3岁,平均11个刀;日大便次数最少5次,最多20余次,平均7次;病程最短1F1,最长1周,平均4F1;发热23
8、例;并轻度脱水36例,屮度脱水22例,重度脱水2例;屮医辨证:湿热泻32例,寒湿泻28例;血白细胞计数均V10.0X109/L,其中血白细胞计数W4.0X109/L