清肠止泻散敷脐治疗小儿轮状病毒肠炎湿热型的临床研究

发布时间：2018-04-28 05:40

本文选题：清肠止泻散 + 轮状病毒肠炎　；参考：《山东中医药大学》2012年硕士论文

【摘要】：目的：本课题的目的在于从理论、临床方面观察清肠止泻散对符合中医湿热泻辨证标准的小儿轮状病毒肠炎的治疗效果，以判定中医外治法在轮状病毒肠炎治疗上的疗效。方法：本课题收集轮状病毒肠炎符合中医湿热泻患儿90例，随机分为3组，治疗组30例采用清肠止泻散敷脐并配合蒙脱石散（思密达）口服治疗，对照组1中30例给予口服珠芽蓼止泻颗粒并配合蒙脱石散治疗，对照组2中30例给予蒙脱石散口服治疗。用药前详细记录患儿的症状、体征积分，然后分别给药治疗3天，记录患儿症状、体征改善情况，观察结束后，对各项量化指标进行统计学处理。结果：在主要症状及体征的改善方面及总有效率方面，治疗组优于或接近对照组1而明显优于对照组2，有统计学意义。结论：由此可见，清肠止泻散是治疗小儿轮状病毒肠炎中医属湿热泻的有效的药物，具有显著的缩短疗程、改善症状的作用，，疗效接近于口服，优于纯西药治疗，且使用方便，费用低廉，无毒副作用，易于患儿接受，是值得临床推广的治疗方法。
[Abstract]:Objective: to observe the therapeutic effect of Qingchang Zhixie Powder (QJZXS) on children rotavirus enteritis in accordance with the standard of syndrome differentiation of dampness and heat diarrhea in order to judge the curative effect of external treatment of TCM on rotavirus enteritis. Methods: a total of 90 children with rotavirus enteritis were randomly divided into 3 groups. 30 cases in the treatment group were treated with Qingchang Zhixie Powder (QZXS) and smectite Powder (smecta) orally. In control group 1, 30 cases were treated with ZXL and montmorillonite powder, and 30 cases in control group 2 were treated with montmorillonite powder orally. The symptoms and signs of the children were recorded in detail before medication, and then treated for 3 days respectively. The symptoms and signs of the children were recorded. After the observation, the quantitative indexes were treated statistically. Results: in the improvement of main symptoms and signs and the total effective rate, the treatment group was better than or close to the control group 1, but significantly better than the control group 2, with statistical significance. Conclusion: Qingchang Zhixie Powder is an effective medicine for treating children rotavirus enteritis with damp-heat diarrhea. It has a significant effect of shortening the course of treatment and improving symptoms. The curative effect is close to that of oral administration, which is superior to that of pure western medicine and is convenient to use. Low cost, no side effects and easy to be accepted by children, is worthy of clinical promotion.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272

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