痛泻要方热奄包治疗脾虚湿困型小儿腹泻的临床效果
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摘要
目的探讨痛泻要方热奄包治疗脾虚湿困型小儿腹泻的临床效果。方法选取我院2017年1月～2018年3月收治的100例脾虚湿困型小儿腹泻患者为研究对象,按照随机对照方法分为对照组、观察组,每组50例。两组均予常规西医对症治疗,观察组再予痛泻要方热奄包辅助治疗。观察两组治疗前后的中医症状积分、临床疗效以及治疗过程中的不良反应,比较两组的治疗效果。结果治疗3、7 d后,两组的中医症状积分均低于治疗前,差异有统计学意义(P<0.05),且观察组治疗3、7 d后的中医症状积分均低于对照组,差异有统计学意义(P<0.05)。观察组治疗3、7 d后的治疗效果均优于对照组,差异有统计学意义(P<0.05)。两组治疗过程中无不良反应发生。结论痛泻要方热奄包治疗脾虚湿困型小儿腹泻的临床效果显著,可明显缩短患儿临床症状的改善时间,值得推广。
Objective To evaluate the clinical effect Pain and Diarrhea Formula hot package treating infantile diarrhea with spleen deficiency and dampness-trapped type.Methods From January 2017 to March 2018,100 infantile diarrhea patients with spleen deficiency and dampness-trapped type treated in our hospital were selected as study objects.They were divided into the control group and observation group according to random control method,and there were 50 cases in each group.Both groups were given symptomatic treatment by routine western medicine,and the observation group was given auxiliary treatment of Pain and Diarrhea Formula hot package.The score of TCM symptoms,clinical efficacy and adverse reactions in the course of treatment were observed before and after treatment in the two groups,and the therapeutic effect was compared between the two groups.Results After 3 and 7 days treatment,the score of TCM symptoms in both groups were lower than those before treatment,and the differences were statistically significant(P<0.05),and the score of TCM symptoms in the observation group were lower than those in the control group after 3 and 7 days treatment,and the differences were statistically significant(P<0.05).The therapeutic effect of the observation group were better than those of the control group after 3 and 7 days treatment,and the differences were statistically significant(P<0.05).There were no adverse reactions during the treatment of the two groups.Conclusion Clinical effect of Pain and Diarrhea Formula hot package treating infantile diarrhea with spleen deficiency and dampness-trapped type is significant,and it can significantly shorten the improvement time of clinical symptoms in children,and is worthy of promotion.
Objective To evaluate the clinical effect Pain and Diarrhea Formula hot package treating infantile diarrhea with spleen deficiency and dampness-trapped type.Methods From January 2017 to March 2018,100 infantile diarrhea patients with spleen deficiency and dampness-trapped type treated in our hospital were selected as study objects.They were divided into the control group and observation group according to random control method,and there were 50 cases in each group.Both groups were given symptomatic treatment by routine western medicine,and the observation group was given auxiliary treatment of Pain and Diarrhea Formula hot package.The score of TCM symptoms,clinical efficacy and adverse reactions in the course of treatment were observed before and after treatment in the two groups,and the therapeutic effect was compared between the two groups.Results After 3 and 7 days treatment,the score of TCM symptoms in both groups were lower than those before treatment,and the differences were statistically significant(P<0.05),and the score of TCM symptoms in the observation group were lower than those in the control group after 3 and 7 days treatment,and the differences were statistically significant(P<0.05).The therapeutic effect of the observation group were better than those of the control group after 3 and 7 days treatment,and the differences were statistically significant(P<0.05).There were no adverse reactions during the treatment of the two groups.Conclusion Clinical effect of Pain and Diarrhea Formula hot package treating infantile diarrhea with spleen deficiency and dampness-trapped type is significant,and it can significantly shorten the improvement time of clinical symptoms in children,and is worthy of promotion.
引文
[1]王仕奎.中西医结合治疗小儿腹泻的临床研究[J].中医学报,2017,32(12):2519-2521.
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[6]周莲红.中医综合疗法治疗小儿腹泻的临床疗效观察[J].亚太传统医药,2015,11(11):95-96.
[7]鄢富贵,张剑,张丽丽,等.腹部微波联合康复新液灌肠治疗小儿腹泻的临床研究[J].光明中医,2017,32(17):2452-2453.
[8]张磊,骆伟,陈杰,等.复方丁香开胃贴神阙穴外贴辅助治疗风寒型非感染性小儿腹泻的临床疗效[J].中国医师杂志,2017,19(7):1056-1057.
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[10]成淑凤.小儿“肝常有余,脾常不足”用药探讨[J].中医学报,2013,28(2):265-266.
[11]刘玉萍,范海聆.中西医结合治疗小儿消化不良性腹泻临床观察[J].实用中医药杂志,2017,33(7):779.
[12]代巧妹,陈欣欣,历凯,等.痛泻要方的方源及方证考[J].上海中医药杂志,2017,51(8):73-75.
[13]李悦.小议痛泻要方[J].内蒙古中医中药杂志,2018,37(3):37-38.
[14]沈跃玲,李桂英,熊文清,等.痛泻要方合五苓散加减治疗小儿腹泻60例疗效观察[J].云南中医中药杂志,2003,24(2):26-27.
[15]陈守龙.中医推拿结合贴敷疗法治疗小儿腹泻的临床疗效观察[J].内蒙古中医药,2017,36(18):110.
[16]孙燕.秋泻散联合中药热奄包治疗婴幼儿秋冬季急性腹泻40例疗效观察[J].内蒙古中医药,2015,34(6):84.
[17]孙燕.参苓白术散加中药热奄包联合电磁波治疗婴幼儿秋冬季腹泻疗效[J].包头医学院学报,2015,31(5):51-52.
[18]黄欢欢,秦乐,戴源泉,等.中药敷脐辅助治疗小儿腹泻48例临床观察[J].中医儿科杂志,2018,14(4):48-50.
[19]朱晓林.推拿结合热奄包治疗小儿腹泻的疗效及观察[J].中西医结合心血管杂志,2014,2(5):135.
[2]胡亚美,江载芳.诸福棠实用儿科学[M].北京:中国中医药出版社,2015:100-106.
[3]汪受传.中医儿科学[M].8版,北京:人民卫生出版社,2017:1378-1394.
[4]中华医学会儿科学会分消化学组,中华医学会儿科学分会感染学组,《中华儿科杂志》编辑委员会.儿童腹泻病诊断治疗原则的专家共识[J].中华儿科杂志,2009,47(8):634-636.
[5]郑莜萸.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:272-276.
[6]周莲红.中医综合疗法治疗小儿腹泻的临床疗效观察[J].亚太传统医药,2015,11(11):95-96.
[7]鄢富贵,张剑,张丽丽,等.腹部微波联合康复新液灌肠治疗小儿腹泻的临床研究[J].光明中医,2017,32(17):2452-2453.
[8]张磊,骆伟,陈杰,等.复方丁香开胃贴神阙穴外贴辅助治疗风寒型非感染性小儿腹泻的临床疗效[J].中国医师杂志,2017,19(7):1056-1057.
[9]王立.小儿腹泻的中西医治疗概况[J].中医药导报,2011,17(7):94-95.
[10]成淑凤.小儿“肝常有余,脾常不足”用药探讨[J].中医学报,2013,28(2):265-266.
[11]刘玉萍,范海聆.中西医结合治疗小儿消化不良性腹泻临床观察[J].实用中医药杂志,2017,33(7):779.
[12]代巧妹,陈欣欣,历凯,等.痛泻要方的方源及方证考[J].上海中医药杂志,2017,51(8):73-75.
[13]李悦.小议痛泻要方[J].内蒙古中医中药杂志,2018,37(3):37-38.
[14]沈跃玲,李桂英,熊文清,等.痛泻要方合五苓散加减治疗小儿腹泻60例疗效观察[J].云南中医中药杂志,2003,24(2):26-27.
[15]陈守龙.中医推拿结合贴敷疗法治疗小儿腹泻的临床疗效观察[J].内蒙古中医药,2017,36(18):110.
[16]孙燕.秋泻散联合中药热奄包治疗婴幼儿秋冬季急性腹泻40例疗效观察[J].内蒙古中医药,2015,34(6):84.
[17]孙燕.参苓白术散加中药热奄包联合电磁波治疗婴幼儿秋冬季腹泻疗效[J].包头医学院学报,2015,31(5):51-52.
[18]黄欢欢,秦乐,戴源泉,等.中药敷脐辅助治疗小儿腹泻48例临床观察[J].中医儿科杂志,2018,14(4):48-50.
[19]朱晓林.推拿结合热奄包治疗小儿腹泻的疗效及观察[J].中西医结合心血管杂志,2014,2(5):135.