中医药治疗抗生素相关性脾虚型腹泻53例疗效分析

Therapeutic Effect Observation on 53 cases of Splenasthenic Syndrome Related to Antibiotic-associated Diarrhea by Syndrome Differentiation and Treatment

目的:观察抗生素相关性腹泻(AAD)中脾虚证型所占比重及其治疗方案及疗效。方法:对88例抗生素相关性腹泻患者进行了临床资料分析。结果:AAD患者中脾虚湿盛、脾胃虚寒、湿热内蕴3种证型最为常见,其中脾虚型(脾虚湿盛、脾虚虚寒)在AAD中占有很大的比重。脾虚型AAD患者分别运用参苓白术散、理中汤等治疗具有明显的效果。结论:参苓白术散和理中汤可以对AAD脾虚证患者取得良好的干预效果。

Objective： To evaluate the proportion of splenasthenic syndrome related to antibiotic-associated diarrhea （AAD）, and the therapeutic regimen and effect by Chinese Traditional Medicine methods. Method： collect and analyze 88 cases of ADD of clinical data. Result： Three syndromes, including damp abundance due to splenic asthenia, insufficiency of spleen-YANG and endoretention of damp heat, are commonly defined, while splenic asthenia syndrome occupies a major proportion of AAD. Furthermore, good therapeutic effect was observed on splenic asthenia syndrome under treatment of Shenlingbaizhu Powder and Lizhongtang. Conclusion： Shenlingbaizhu Powder and Lizhongtang have positively therapeutic effect on splenasthenic syndrome of AAD.