自拟藿砂四君子汤治疗小儿秋季腹泻的临床疗效观察

发布时间：2018-03-05 10:23

本文选题：小儿秋季腹泻　切入点：临床疗效观察　出处：《黑龙江中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：通过观察自拟藿砂四君子汤治疗小儿秋季腹泻的临床有效率,客观评价自拟藿砂四君子汤治疗小儿秋季腹泻的临床疗效,为中医中药治疗小儿秋季腹泻提供有效方剂。方法：选取符合纳入标准的小儿秋季腹泻的患儿60例,随机分组,分为治疗组30例,对照组30例,对照组——服用思密达,治疗组——服用自拟藿砂四君子汤,疗程5天。分别观察各组患儿治疗前后大便次数、粪便性状及伴随症状的缓解情况,治疗的总疗效、中医证候的改善情况及止泻时间。结果：临床治疗总疗效比较,治疗组痊愈4例,显效20例,有效4例,无效2例,总有效率93.33%；对照组痊愈2例,显效9例,有效15例,无效4例,总有效率86.67%。经统计学分析,两组疾病总有效率存在明显差异(P0.05),治疗组优于对照组。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90.0%(P0.05)。在止泻时间方面,治疗组明显少于对照组。两组患儿治疗后在改善大便次数、粪便性状、精神不振、呕吐、食欲不振等方面存在差异(P0.05),治疗组疗效优于对照组,在改善发热方面无显著性差异(P0.05)。结论：自拟藿砂四君子汤治疗小儿秋季腹泻的临床疗效显著,尤其是在减少大便次数、改善粪便性状、恢复精神状态、止呕、改善食欲等方面疗效优于对照组,在缩短腹泻时间方面亦有显著的优势。
[Abstract]:Objective: through clinical observation of self-made huosha four Sijunzi Decoction in treatment of infantile autumn diarrhea with efficiency, objective evaluation of clinical efficacy of self-designed huosha four Sijunzi Decoction in treatment of infantile autumn diarrhea, provide effective prescription for traditional Chinese medicine in the treatment of infantile autumn diarrhea. Methods: 60 patients met the inclusion criteria, the infantile autumn diarrhea were randomly grouped. 30 patients were divided into treatment group and control group 30 cases, control group, treatment group with smecta, - treated with huosha Decoction of four noble drugs, course of 5 days. Each group were observed before and after treatment in children with stool frequency, stool and accompanying symptoms remission, the total efficacy of the treatment, the improvement of TCM syndrome and diarrhea the comparison of clinical treatment. Results: the total curative effect, the treatment group 4 cases cured, 20 cases markedly effective, 4 cases effective, 2 cases ineffective, the total efficiency of 93.33%; control group 2 cases were cured, 9 cases markedly effective 15 cases, invalid 4 cases, The total efficiency of 86.67%. by statistical analysis, two groups of the total efficiency of disease has obvious difference (P0.05), the treatment group than the control group. Comparison of the efficacy of TCM treatment group, the total effective rate was 96.67%, the total efficiency of the control group 90% (P0.05). At the time of diarrhea, the treatment group was significantly less than the control group. The two groups after treatment in improving stool frequency, stool, lethargy, vomiting, loss of appetite and other aspects of the differences (P0.05), the treatment group than the control group, no significant difference in the improvement of heating (P0.05). Conclusion: the clinical efficacy of self-designed huosha four Sijunzi Decoction in treatment of infantile autumn diarrhea is significant, especially reduction in stool frequency, stool improvement, restoration of mental state, antiemetic, improve appetite and other side effects than the control group, there are significant advantages in shortening the time of diarrhea.

【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R272

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