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[目的]探讨法莫替丁联合香砂平胃丸治疗小儿再发性腹痛(RAP)的疗效。[方法]将86例RAP患儿随机分为治疗组和对照组,每组各43例。2组均采用调整饮食结构及心理疏导。对照组用法莫替丁0.9mg/kg,睡前1次口服。治疗组在对照组基础上联合香砂平胃丸3g/次,2次/d,口服。4周为1个疗程,随访3个月,观察腹痛缓解情况。[结果]2组腹痛消失时间比较治疗组明显短于对照组(P<0.05)。2组治疗前后腹痛评分比较,治疗组明显优于对照组,差异有统计学意义(P<0.01)。2组临床疗效比较,对照组总有效率76.74%,治疗组95.35%,2组比较差异有统计学意义(P<0.05)。[结论]法莫替丁联合香砂平胃丸治疗小儿RAP有明显的临床疗效。
[Objective] To investigate the efficacy of famotidine combined with Xiangsha Pingwei Wan in the treatment of recurrent abdominal pain (RAP) in children. [Methods] 86 RAP children were randomly divided into treatment group and control group, 43 cases in each group. 2 groups were used to adjust the diet and psychological counseling. Control group with famotidine 0.9mg / kg, 1 times before going to bed orally. On the basis of the control group, the treatment group was treated with Xiangsha Pingwei Wan 3g / time, 2 times / d orally. 4 weeks for a course of treatment, followed up for 3 months to observe the remission of abdominal pain. [Results] The disappearance time of abdominal pain in the two groups was significantly shorter than that in the control group (P <0.05). The scores of abdominal pain before and after treatment in the two groups were significantly better than those in the control group, with significant difference (P <0.01). Compared with the control group, the total effective rate was 76.74% in the control group and 95.35% in the treatment group. The difference between the two groups was statistically significant (P <0.05). [Conclusion] The combination of famotidine and Xiangsha Pingwei Wan in treating RAP in children has obvious curative effect.