中药止泻散与思密达治疗小儿肠炎的对比观察

A comparative study of treatment effects of smecta and constipating pulvis onthe infantile enteritis

小儿肠炎主要病原是轮状病毒，目前用思密达治疗取得了较满意疗效。本文采用自制中药止泻散与思密达进行对比观察，观察９０例患者，年龄２～３２个月，均秋冬季急性起病，以水样、蛋花汤样便为主，伴有发热，呕吐、脱水症状，血象不高，大便培养阴性，符合急性病毒性肠炎临床诊断标准。随机分为２组，治疗组４０例服中药止泻散，对照组５０例服用思密达。治疗组总有效率８７．５％，对照组９０．０％，两组无显著差异，止泻时间治疗组（１．５８±１．０５）ｄ，对照组（２．４０±０．７０）ｄ，大便成形时间治疗组（２．５６±１．３１）ｄ，对照组（３．２６±０．５６）ｄ，体温恢复正常时间治疗组（１．２４±０．６６）ｄ，对照组（２．２８±０．９１）ｄ，治疗组明显优于对照组。

The main pathogenic-microorganism of infantile enteritis is human rotovirus.The treatment of in-fantile enteritis with smecta has been satisfactory,Our present study is to make a comparative study of thetreatrnent of infantile enteritis with smecta and constipating pulvis (selfmade traditional Chinese medicine).The subjects were ninety infantile enteritis patients,2 to 32 months old.These cases accorded with the clinicdiagnostic standard of virus enteritis.We divided these cases into two groups in random,The treatmentgroup(40 cases)took constipating pulvis.The control group (50 cases)took smecta. The total responserates were as follows:the treatment group 87.5%,the control group 90.0%,There was no significant differ-ence between the two groups.The constipating time of each group was 1.58±1.05d(the treatment group),2.4±0.70 d(the control group)respectively,The period when feces took shape were as follows the treat-ment group 2.56± 1.31 d,the control group 3.56±0.56 d.The periods when temperature returned to nor-mal were as follows:the treatment group 1.24±0.66d,the control group 2.28±0.41d.Based on thisstudy,we found that the treatment group was significantly superior to the control group.