中医外治三联疗法治疗婴幼儿轮状病毒肠炎的临床研究

Clinical Research on the Chinese Traditional External Therapy for Infants with Acute Rotavirus Enteritis

目的:评价中医外治三联疗法(中药敷脐+推拿+茜草泡足)治疗婴幼儿轮状病毒肠炎的效果。方法:轮状病毒肠炎患儿300例,随机分为治疗组和对照组,两组患儿有脱水者采用静脉输液纠正脱水及电解质紊乱,伴发热者给予退热处理,对照组采用口服微生态制剂(妈咪爱)、蒙脱石散(思密达)治疗,治疗组采用中医外治三联疗法,即中药敷脐+推拿+茜草泡足治疗。结果:治疗组与对照组入院当天临床症状评分无统计学意义(P>0.05),说明两组具有可比性;治疗48h及治疗72h临床症状评分治疗组均低于对照组(P<0.05),说明治疗组对临床症状的缓解明显优于对照组。治疗组和对照组临床疗效的比较,两组具有显著差异(χ2=16.315,P<0.001),治疗组疗效明显优于对照组。住院时间、住院费用的比较,治疗组住院时间短(P<0.05),住院费用低(P<0.05)。结论:中医外治三联疗法治疗婴幼儿轮状病毒肠炎,疗效好,住院时间短,住院费用低,无创伤,少痛苦,患儿乐于接受,具有临床应用价值,值得基层医院推广。

Objective：To evaluate the effect of the Chinese traditional external therapy（Chinese medicine plaster on navel together with manipulation and madder foam foot） for infants with acute rotavirus enteritis.Methods：300 cases of infants with acute rotavirus enteritis were randomly divided into treatment group or control group.If there were dehydrators,intravenous transfusion would be taken to retrieve the anhydration and electrolyte disturbances.Patients with fever were given fever processing.The treatment group used the Chinese traditional external triple therapy（Chinese medicine plaster on navel＋manipulation＋madder foam foot）,while the control group were given probiotics（MAMIAI） and Montmorillonite powder（Smecta）.Results：The scores of clinical symptom on the admission day of the two groups have no statistically significant（P0.05）,indicating that the two groups are comparable.After 48h and 72h of treatment,the scores of clinical symptom of treatment group both are lower than those of control group（P0.05）,showing that the remission of clinical symptom of treatment group is more than that of control group.With the compareation of the clinical efficacy of the treatment group and the control group,we can get that there is significant difference（χ2=16.315,P0.001） and the clinical efficacy of the treatment group is much better than that of the control group.As the compareation of hospital stays and hospitalization expenses showing,the hospital stays is shorter（P0.05） and the hospitalization is lower（P0.05） of treatment group Conclusion：Using Chinese external triple therapy for infants with acute rotavirus enteritis is more effective,with shorter hospital stay,lower cost of hospitalization,non-invasive,less painful,children willing to accepting,therefore has clinical value and is worth of promotion in primary hospital.