清热润肠通便贴敷脐治疗小儿功能性便秘（燥热内结证）的临床研究

发布时间：2019-04-19 00:07

【摘要】：目的:本课题以清热润肠通便贴敷脐治疗符合功能性便秘(燥热内结证)的患儿,以期于理论及临床中对此疗效施行综合观察与探究,进而评定其对此病证的显效率和安全性。方法:收集符合功能性便秘(燥热内结证)的患儿60例,随机将其平均分成两组,治疗组施以乳果糖口服配合清热润肠通便贴敷脐进行治疗,对照组选用乳果糖口服调理,两组均连续用药调理14±1天,并于第28±1天(即为随访日)进行随访。详细记录治疗前、后以及随访时的各分项症状及体征,进而评定临床疗效。结果:两组治疗小儿功能性便秘均有效(组内比较,P均0.05),但治疗组更有利于提高综合疗效(组间比较,P均0.05),尤其是在改善主、次症及总积分方面更有明显优势(组间比较,P均0.05);在改善和维持各分项症状及体征方面,治疗组更有利于改善患儿的大便性状、排便频次、排便难易、腹胀腹痛、口臭、食欲(组间比较,P均0.05)。结论:清热润肠通便贴具有较理想的清热散结、润燥通便的功效,在临床中效果显著,并安全可靠,是值得推广的治疗方案。
[Abstract]:Aim: in order to observe and explore the curative effect in theory and clinic, this study was designed to treat children with functional constipation by clearing away heat, moistening intestines and defecating the umbilical cord in order to evaluate the effective rate and safety of the disease in accordance with the functional constipation (syndrome of dryness-heat internal knot) in order to evaluate the effective rate and safety of this syndrome. Methods: 60 cases of functional constipation were randomly divided into two groups. The treatment group was treated with lactofructose orally combined with Qingre Runchang Tong stool application, and the control group was treated with lactulose orally, and the patients in the control group were treated with lactulose orally, and the patients in the control group were treated with lactulose orally, and the control group was treated with lactulose orally. Both groups were treated with medication for 14 卤1 day, and were followed up on the 28th 卤1st day (that is, the follow-up day). The symptoms and signs before, after and during the follow-up were recorded in detail, and the clinical efficacy was evaluated. Results: both groups were effective in the treatment of functional constipation in children (intra-group comparison, P all 0.05), but the treatment group was more favorable to improve the comprehensive curative effect (group comparison, P all 0.05), especially in improving the main effect. There were more obvious advantages in secondary disease and total score (P < 0.05). In terms of improving and maintaining the symptoms and signs, the treatment group was more favorable to improve the defecation character, frequency of defecation, difficult defecation, abdominal distension and abdominal pain, bad breath and appetite (P < 0.05). Conclusion: Qingre Runchang Tongpiao paste has the ideal effect of clearing heat and dispersing knot, moistening dryness and clearing stool. It has remarkable effect in clinic and is safe and reliable, so it is worth popularizing.
【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】：2016
【分类号】：R272

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