单味铁苋菜灌肠治疗小儿泄泻（湿热型）的临床疗效观察

发布时间：2018-06-24 22:03

本文选题：中药铁苋菜 + 小儿腹泻　；参考：《福建中医药大学》2012年硕士论文

【摘要】：目的：观察单味铁苋菜(Acalypha austral is L.)灌肠治疗小儿泄泻(湿热型)的临床疗效,并探讨其疗效机理。方法：将所选的60例湿热泻患儿,随机分为治疗组和对照组,治疗组予单味铁苋菜灌肠,每日2次,疗程为3天,每次保留30min以上；对照组予蒙脱石散灌肠,每日2次,每次保留30min以上。将两组患儿的基本信息如：性别、年龄、病情等进行比较,经统计学处理,无显著差异(P0.05),具有可比性。在进行试验之前将湿热型患儿的信息进行登记,试验结束后进行治疗前后自身比较及治疗组与对照组之间的比较,通过统计学分析,判定“单味铁苋菜灌肠”治疗小儿泄泻(湿热型)的疗效。结果：治疗组总有效率96.67%,对照组总有效率76.67%,两组间有显著性差异(P0.01),治疗组优于对照组。在主证方面,两组间有显著性差异(P0.01),治疗组优于对照组。在次证总体上,两组间也有极显著性差异(P0.01),治疗组优于对照组。对于单项症状、体征的疗效比较,其中在改善大便次数、大便性状、舌苔方面,两组间有极显著性差异(P0.01),治疗组优于对照组；在改善精神、眼泪、眼窝、口舌、舌质、脉象方面两组间有显著性差异(P0.05),治疗组优于对照组；在改善饮食、腹痛腹胀、肛周皮肤方面,两组间无显著性差异(P0.05)。结论：单味铁苋菜灌肠治疗小儿泄泻(湿热型),能够明显改善症状、体征,临床疗效显著；灌肠法不仅能解决患儿服药难的问题,而且由直肠直接吸收药物,临床起效较快,且不经胃消化作用,对胃无刺激性,临床无明显副作用,患儿家长易于接受。铁苋菜为我省常用止泻止痢药,能就地取材,不花钱或少花钱即能治病。本课题采用单味铁苋菜灌肠治疗小儿泄泻(湿热型)具有安全可靠、方法简便、价格便宜、作用迅速、患儿及家长易于接受的特点,符合儿科临床实际,发挥了中医药优势,体现了中医药特色,具有重要的临床应用及推广价值。
[Abstract]:Objective: to observe (Acalypha austral is L. Clinical efficacy and mechanism of enema in children with diarrhea (damp-heat type). Methods: 60 children with dampness and heat diarrhea were randomly divided into treatment group and control group. The treatment group was treated with single amaranth enema twice a day for 3 days, and the control group was treated with montmorillonite powder enema twice a day, while the control group was treated with montmorillonite enema twice a day. Keep 30min above each time. The two groups of children with basic information such as: sex, age, disease and so on were compared, after statistical processing, there was no significant difference (P0.05), comparable. Before the experiment, register the information of the children with dampness and heat, compare themselves before and after the treatment and the comparison between the treatment group and the control group, through statistical analysis, To evaluate the therapeutic effect of single amaranth enema on diarrhea in children. Results: the total effective rate of the treatment group was 96.67 and that of the control group was 76.67. There was a significant difference between the two groups (P0.01). The treatment group was superior to the control group. There was significant difference between the two groups (P0.01), and the treatment group was superior to the control group. On the whole, there was significant difference between the two groups (P0.01), the treatment group was superior to the control group. There were significant differences between the two groups in improving defecation times, defecation traits and tongue coating (P0.01). The treatment group was superior to the control group in improving spirit, tears, eye socket, tongue, tongue quality, There was significant difference in pulse between the two groups (P0.05), the treatment group was better than the control group; in improving diet, abdominal pain and abdominal distension, perianal skin, there was no significant difference between the two groups (P0.05). Conclusion: single amaranth enema can significantly improve the symptoms, signs and clinical efficacy in treating children with diarrhea (damp-heat type), and enema can not only solve the problem of difficulty in taking medicine in children, but also absorb drugs directly from the rectum. And no stomach digestion, no irritation to stomach, no obvious side effects, parents of children are easy to accept. Amaranth is commonly used to stop diarrhea and dysentery in our province. In this study, the single amaranth enema was used to treat diarrhea in children (damp and heat type) with the characteristics of safety and reliability, simple method, cheap price, rapid effect, easy acceptance of children and parents, which accord with the clinical practice of pediatrics and bring into play the advantages of traditional Chinese medicine. It embodies the characteristics of traditional Chinese medicine and has important clinical application and promotion value.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272

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