中西医结合治疗小儿坏死性小肠炎术后综合征临床研究

Clinical Study on Treatment of Postoperative Syndrome of Infantile Necrotizing Small Enteritis with Intigrative Medicine

目的:探讨中西医结合治疗小儿坏死性小肠炎术后综合征的临床疗效。方法:将50例患儿按随机数字表单盲法分为治疗组与对照组,治疗组采用四物汤加减(方药组成:当归6~9 g,赤芍3~9 g,川芎3~6 g,地黄6~12 g,金银花6~15 g,土茯苓9~15 g)治疗,并配合双歧杆菌制剂。对照组仅采用双歧杆菌制剂治疗。结果:两组患儿治疗后腹胀、腹痛、大便性状、营养状况及体质量及腹部平片比较,差异有统计学意义(P<0.05)。治疗组有效率100%,对照组有效率72%,两组比较有显著性差异(P<0.05)。结论:中西医结合治疗小儿坏死性小肠炎术后综合征临床疗效显著。

Objective：To explore the clinical efficacy of the combination of traditional Chinese medicine and western medicine in treatment of Postoperative Syndrome of Infantile Neerotizing Small Enteritis. Methods ：50 cases of children were randomly divided into treatment group and control group. The treatment group was treated with TCM Siwu Decoction （ prescription ： Angelica sinensis 6 -9 g,radix paeoniae rubrathe 3 -9 g,rhizoma chuanxiong 3 -6 g,radix rehmanniae 6 - 12 g,honeysuekle 6 - 15 g,Rhizoma Smilacis Glabrae 9 - 15 g） and Bifidobacterium preparations. The control group was treated with Bifidobacterium preparations. Re- sults ： After treatment, the bloating, abdominal pain, stool traits, nutritional status, body weight and abdominal plain film of the two groups were significantly different （ P 〈 0.05 ）. The effective rate of the treatment group was 100% and that of the control group was 72%. There was significant difference between the two groups （P 〈 0.05 ）. Conclusion ： The combination of traditional Chinese medicine and western medicine in treatment of Postoperative Syndrome of Infantile Necrotizing Small Enteritis can achieve siginificant clinical efficacy.