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目的:探讨因消化不良而导致的小儿腹泻,采用中药白苓健脾颗粒与西药思密达、常乐康进行中西医结合治疗的有效性与安全性。方法:随机选取自2014年4月-2016年3月于本院小儿科接受治疗的因消化不良而发生小儿腹泻的患儿50例作为中西医联合治疗组,给予口服中药白苓健脾颗粒联合西药思密达、常乐康进行治疗;另从同期患儿中随机抽取50例作为单纯西医治疗组,只给予单纯的西药思密达、常乐康行口服治疗。对比两组患儿治疗有效情况,比较分析两组患儿腹痛、腹泻、腹胀以及大便性状异常治疗前后的严重程度。结果:中西医联合治疗组总有效47例,总有效率94.0%,优于单纯西医治疗组总有效39例,总有效率88.0%,组间比较,差异具有统计学意义(P<0.05);两组患儿治疗前后腹痛、腹泻、腹胀及大便性状异常症状评分情况分析,治疗后中西医联合治疗组与单纯西医治疗组各项症状评分情况均优于治疗前,差异具有统计学意义(P<0.05);治疗后组间相比,中西医联合治疗组各项症状评分均优于单纯西医治疗组,差异具有统计学意义(P<0.05)。结论:采用中西医联合治疗方式对小儿消化不良性腹泻患儿进行治疗,可取得较为理想的治疗效果,改善患儿病情,且不会造成不良反应,为临床可行性药物治疗方式,安全性高。
Objective: To investigate the children with diarrhea caused by indigestion, the use of traditional Chinese medicine Bai Ling Jian Pi granule and the Chinese medicine Smecta, Chang Le Kang in the treatment of Integrative Medicine of the effectiveness and safety. Methods: Fifty children with infantile diarrhea who were treated in our pediatric department from April 2014 to March 2016 were randomly selected as the combination therapy group with traditional Chinese medicine and western medicine. The patients were treated with Baiying Jianpi granule combined with Western medicine Milda, Chang Lekang treatment; the other from the same period in children randomly selected 50 cases as a pure Western medical treatment group, only to give a simple Western medicine Smectite, Changle Kang line of oral treatment. Compare the two groups of children with effective treatment, comparative analysis of two groups of children with abdominal pain, diarrhea, abdominal distension and stool abnormalities before and after treatment of the severity. Results: The total effective rate of combination therapy group was 47 cases, the total effective rate was 94.0%. The total effective rate was higher than that of western medicine group (39%). The total effective rate was 88.0%. There was significant difference between two groups (P <0.05). Before and after treatment, the scores of abdominal pain, diarrhea, abdominal distension and abnormal stool symptoms in both groups were significantly higher than those before treatment (P <0.05). After treatment, the scores of symptom scores of both TCM and western medicine treatment group were better than those before treatment (P <0.05). Compared with the Western medicine group, the scores of all the symptoms in the combination therapy group were significantly different (P <0.05). Conclusion: The treatment of children with dyspeptic diarrhea in children with Chinese and Western medicine treatment can achieve better therapeutic effect, improve children’s condition, and will not cause adverse reactions, which is a clinically feasible drug treatment method with high safety .