止泻散敷脐治疗寒湿型小儿轮状病毒肠炎临床观察
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摘要
目的:评价止泻散敷脐治疗寒湿型小儿轮状病毒肠炎的临床疗效。为中医中药治疗小轮状病毒肠炎提供有效方剂。
方法:临床随机观察60例寒湿型小儿轮状病毒肠炎患儿,将患儿分为治疗组30例对照组30例。治疗组给予口服新博林,同时采用中药止泻散敷脐,对照组给予口服新博林,疗程3天。观察两组治疗的总疗效、中医症候的改善情况及止泻时间。
结果:结果表明:综合疗效中,治疗组总有效率90%,对照组总有效率76.67%(P<0.05);中医证候疗效比较,治疗组总有效率为96.67%,对照组总有效率80.0%(P<0.05);并且治疗组患儿的止泻时间较对照组缩短。
结论:止泻散敷脐治疗寒湿型小儿轮状病毒肠炎的临床疗效显著,尤其是在改善中医症候及缩短病程方面有显著的优势。
Objective: Evaluation on the clinical efficacy of treatment to cold and dampness Infantile Rotavirus enteritis by umbilical sticking with antidiarrheal.the effective prescription will be provided to treat of the infantile rotavirus enteritis by chinese medicine.
Methods : 60 random samples of children with rotavirus enteritis were clinically observed. It is divided into treatment group and control group, Oraling New Bolin and being applied navel with antidiarrheal in treatment group, Oraling New Bolin in control group,A three-day is a treatment course.The chinical efficacy of treatment on disease and syndrome ,improvement of TCM syndrome and antidiarrheal time between the two groups were observed treatment.
Results: The results of treatment showed that the total effective rate in the treatment group and the control group was90%and76.67%,respectively. For the therapeutic effect of TCM syndrome the total effective rate in the treatment group and the control group was96.67% and80%,respectively.And the antidiarrheal time of the treatment group was shorter than the control group,s.
Conclusions:Is was showed that the method,which antidiarrheal was applied navel,is an effective therapy for infantile rotavirus enteritis.The improvement of TCM syndrome and antidiarrheal time were reduced obviously.
方法:临床随机观察60例寒湿型小儿轮状病毒肠炎患儿,将患儿分为治疗组30例对照组30例。治疗组给予口服新博林,同时采用中药止泻散敷脐,对照组给予口服新博林,疗程3天。观察两组治疗的总疗效、中医症候的改善情况及止泻时间。
结果:结果表明:综合疗效中,治疗组总有效率90%,对照组总有效率76.67%(P<0.05);中医证候疗效比较,治疗组总有效率为96.67%,对照组总有效率80.0%(P<0.05);并且治疗组患儿的止泻时间较对照组缩短。
结论:止泻散敷脐治疗寒湿型小儿轮状病毒肠炎的临床疗效显著,尤其是在改善中医症候及缩短病程方面有显著的优势。
Objective: Evaluation on the clinical efficacy of treatment to cold and dampness Infantile Rotavirus enteritis by umbilical sticking with antidiarrheal.the effective prescription will be provided to treat of the infantile rotavirus enteritis by chinese medicine.
Methods : 60 random samples of children with rotavirus enteritis were clinically observed. It is divided into treatment group and control group, Oraling New Bolin and being applied navel with antidiarrheal in treatment group, Oraling New Bolin in control group,A three-day is a treatment course.The chinical efficacy of treatment on disease and syndrome ,improvement of TCM syndrome and antidiarrheal time between the two groups were observed treatment.
Results: The results of treatment showed that the total effective rate in the treatment group and the control group was90%and76.67%,respectively. For the therapeutic effect of TCM syndrome the total effective rate in the treatment group and the control group was96.67% and80%,respectively.And the antidiarrheal time of the treatment group was shorter than the control group,s.
Conclusions:Is was showed that the method,which antidiarrheal was applied navel,is an effective therapy for infantile rotavirus enteritis.The improvement of TCM syndrome and antidiarrheal time were reduced obviously.
引文
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[2] Tucker AW.Cost-effectiveness analysis of a rotavirus Immunization program for the United States[J].JAMA, 1998, 279: 1371-76.
[3] BernC,Martines J,deZoysaI,et The magnitude of the global problem of diarrhoeal Disease:a ten-year update[J].Bull World Health Organ,1992,70:705-14.
[4] FruhwirthM,Brown,EllemunterH.etal.[J],Clin Microbiol, 2000,38:1804-1806.
[5]史宇广,单书健.当代名医临证精华小儿腹泻专辑[M].北京:中医古籍出版社, 1998:57,109.
[6]罗云坚.儿科专病中医临床诊治[M].北京:人民卫生出版社,2000:219-220.
[7]于少庭.辨证论治小儿泄泻125例临床观察[J].现代医药卫生,2008,24(7): 1046.
[8]陈启华.浅谈小儿泄泻证治八法[J].中国民间疗法,2008,(7):55-56.
[9]钟晓萍.辨证论治小儿病毒性肠炎60例[J].甘肃中医,2009,22(1):39.
[10]耿春清.中医辨治小儿秋季腹泻[J].中国伤残医学,2009,17(1):110.
[11]郭增梃.秋泻系列方治疗小儿秋季腹泻40例观察[J].中医药临床杂志,2007, 19(2):151-152.
[12]吴正春.云南白药治疗婴幼儿轮状病毒腹泻的临床观察[J].中国实用乡村医生杂志,2009,16(4):38.
[13]韩云发.小儿温脐止泻膏的配制及疗效观察[J].中国民间疗法,2009,17(7): 17.
[14]刘娟.中药敷脐治疗小儿泄泻22例[J].中国民间疗法,2009,17(1):11.
[15]徐奇伟.云南白药敷脐治疗婴幼儿秋季腹泻[J].中国社区医师,2009,25(13): 42.
[16]高美玲.云南白药合麝香追风膏敷脐辅助治疗小儿秋季腹泻临床观察[J].中医药临床杂志,2009,21(1):22.
[17]杜丽芳.传统推拿法治疗婴幼儿秋季腹泻52例[J].中国民族民间医药,2009, 18(24):111.
[18]康蓓蓓.小儿推拿疗法佐治婴幼儿腹泻体会[J].辽宁中医杂志,2009,36(6):1011.
[19]隋广馨,李智,范璞.辨推拿治疗小儿轮状病毒肠炎疗效观察[J].山东中医药大学学报,2006,30.(3)213-214.
[20]周凌云.中药经皮给药治疗小儿秋季腹泻的观察和护理[J].华北煤炭医学院学报,2009,11(1):96-97.
[21]李一民.泽泻汤经皮给药治疗小儿秋季腹泻60例[J].福建中医药,2009,40 (6):39.
[22]吴仁海.药物穴位注射治疗小儿秋季腹泻的疗效观察[J].中国医药指南,2009, 7(22):93.
[23]吴绍德,周兆章,吴瑛,等.针灸治疗手册[M].2版.上海:上海科学技术出版社, 1985:96.
[24]锥荣东.穴位注射治疗的对照观察[J].中国针灸,2004,24(5):315
[25]周云兰.莪术油注射液治疗婴幼儿腹泻疗效观察[J].临床医学,2009,29(6): 89.
[26]盛凯华.炎虎宁治疗婴幼儿秋季腹泻疗效观察[J].中华当代医学, 2006,4(4): 98.
[27]周宇宁.鱼腥草注射液治疗轮状病毒性肠炎的疗效分析[J].实用中西医结合临床,2005,5(3):l.
[28]王洪霞.中药保留灌肠治疗小儿秋季腹泻71例临床观察[J].航空航天医药, 2009,21(3):377.
[29]郝海英.用地锦草合剂足浴治疗小儿秋季腹泻79例[J].新中医,2009,41(7): 71.
[30]FangZhanyin,YangHui,ZhangJing,etal.Child rotavirus Infection in assoeiation with acute gastroen teritis in two Chinese sentinel hospitals[J].Pediatrics Intena- tional,2000,42:401-405.
[31]Niwat Maneekam, Hiroshi Ushijima.Epidemiology of rotavirus infection in Thai- land[J].Pediatrics international,2000,42:412-415.
[32]RuggeriFM,DeeliehS.Rotavirus in faction among children with diarrhoea in Italy. AetaPaediatrSuPPI,1999,88:66-71.
[33]Gonzalez FS,Sordo ME,Rowensztein G,et al.Rotavirus iarrhea.Medicina(BAires),1999,59:321-326.
[34]Haffejee IE The epiemioloy of rotavirus infactions:a global perspective. J Pedi- atr Gastroenterol Nutr.1995, 20:275-286.
[35]Glass RI.Rigore PE.Holman RC.etal.The epidemilolay of rotavirus diarrhea in the United States:surveillance and estimates of disease burden.J Infect Dis.1996. 174 (suppll):s5-11.
[36]Estes MK,Cohen J.Rotavirus gene stureture and funetion.Microbiol Rev,1989,53: 410-449.
[37]Gonzalez FS,Sordoh ME,Rowensztein G,etal.Rotavirus diarrhea.Medieina (BAires), 1999, 59:321-326.
[38]钱渊,张又,肖玮,等。PZ、G4型轮状病毒引起产科新生儿腹泻暴发流行[J].中华儿科杂志,1999,37:283-286.
[39]Kapikian AZ,Chanoek PM.Rotaviruses . In : Field Virology .3rded. PhiladelPhia : Raven ,1996,1657-1708.
[40]Flores J,White L,Blanco M,et al.Serological nesponse to rotavirus infeetion in newborn infants.J Med Virol,1994,42:97-102.
[41]Wilde J,Van R,Pickering L,et al.Detection of rotaviruses in the day care environment by reverse transcriptase Polymerase chain reaction.Jinfect Dis, 1992,166:507-51..
[42]方鹤松.小儿腹泻病诊断治疗的进展[J].中国儿童保健杂志,1997,7(3):172- 173.
[43]赵聪敏.急性婴儿腹泻的饮食处理.国外医学·儿科学分册.1993,20(3):134- 136.
[44]田林瑞.更昔洛韦治疗婴幼儿病毒性肠炎120例临床观察[J].实用全科医学,2005,3(1):58.
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