葛根止泻汤联合针刺治疗急性肠炎临床观察

Clinical Observation on Gegen Zhixie Tang Combined with Acupuncture and Moxibustion for Acute Enteritis

目的:观察葛根止泻汤联合针刺治疗急性肠炎的临床疗效。方法:选取88例急性肠炎患者,按随机数字表法分为治疗组与对照组各44例。2组均给予饮食调理、补液、止吐及止痛等治疗,对照组在此基础上给予利福昔明治疗,治疗组则给予葛根止泻汤联合针刺治疗。对比2组临床疗效,观察治疗前后大便次数、大便性状及腹痛积分的变化,记录不良反应发生情况。结果:治疗组总有效率95.45%,对照组总有效率75.00%,2组比较,差异有统计学意义(P<0.05)。治疗前,2组大便次数、大便性状及腹痛积分比较,差异均无统计学意义(P>0.05)。治疗后,2组大便次数、大便性状及腹痛积分均较治疗前降低(P<0.05);治疗组3项症状积分均低于对照组(P<0.05)。治疗期间,2组均有1例出现轻微皮肤红疹,停药之后均自行恢复,未见其他严重并发症。结论:葛根止泻汤联合针刺治疗急性肠炎,能快速缓解患者的症状,提高治疗效果。

Objective： To observe the clinical effect of Gegen Zhixie tang combined with acupuncture and moxibustion for acute enteritis. Methods：Divided 88 cases of patients with acute enteritis into the treatment group and the control group according to random number table method,44 cases in each group. The two groups were given dietary therapy,fluid infusion,antiemetics and analgesia for treatment. The control group was additionally treated with rifaximin, while the treatment group was additionally treated with Gegen Zhixie tang combined with acupuncture and moxibustion. Compared the clinical effect,observed the changes of defecation frequency,defecation state and scores of abdominal pain before and after treatment,and recorded the adverse reactions. Results：The total effective rate was 95.45% in the treatment group and was 75.00% in the control group, the difference being significant（P〈0.05）. Before treatment,no significant difference was found in the comparisons of the defecation frequency,defecation state and scores of abdominal pain between the two groups（P〈0.05）. After treatment,the defecation frequency,defecation state and scores of abdominal pain in the two groups were all decreased when compared with those before treatment（P〈0.05）, and the above three symptom scores in the treatment group were lower than those in the control group（P〈0.05）. During the treatment,there was one case with slight exanthema in the two groups, but the symptom disappeared when stopped taking the medicine, and no other severe complication was found.Conclusion： The therapy of Gegen Zhixie tang combined with acupuncture and moxibustion for acute enteritis can rapidly relieve symptoms of patients and improve the curative effect.