中西医结合治疗小儿迁延性腹泻97例临床观察

Clinical Observation of 97 Cases with Protracted Diarrhea Treated with Integrative Traditional Chinese Herb and Western Medicine

目的:探讨中西医结合方法治疗小儿迁延性腹泻的临床效果。方法:2010年6月至2011年6月我院入院治疗符合小儿迁延性腹泻诊断标准的患儿194例,按入院单双号随机分为对照组和治疗组各97例。对照组患儿采用补液、维持水电解质及酸碱平衡等常规治疗,并使用蒙脱石散剂,治疗组患儿在对照组治疗的基础上,加用自拟"腹泻煎"加减口服,比较两组患儿临床症状恢复时间及临床有效率。结果:治疗组患儿体温恢复正常时间、腹泻停止时间、腹胀好转时间及食欲不振改善时间均明显短于对照组,差异均有统计学意义(P<0.05);对照组总有效率79.4%,治疗组总有效率91.8%,两组比较差异有统计学意义(P<0.05)。结论:中西医结合治疗小儿迁延性腹泻临床效果显著,患儿临床症状恢复情况明显好于单一西药治疗,不良反应少,值得临床推广应用。

Objective： Study the clinical effect of traditional Chinese herb （TCH） combined with western medicine in treatment of protracted diarrhea diseases （PDD）. Methods： One hundred and ninety four patients with PDD from Jun, 2010 to Jun, 2011 were randomly divided into two groups equally （97 cases）. All the patients were treated with basic therapy. The patients in the control group were treated with Dictahedral Smectite Powder. Based on the treatment of the control group, the patients in the treatment group received TCH. The recovery time of clinical symptoms was compared. Results： The recovery time of diarrhea and body temperature of the treatment group were shorter than those of the control group. The total effective rate of the treatment group was 91.8%, while that of control group was 79. 4%, the differences were statistically significant between the two groups （P 〈 0. 05 ）. Conclusions： The combination of TCH and western medicine showed satisfactory clinical efficacy in the treatment of PDD, which was better than single western medicine treatment, and it was worthy of clinical use.