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[目的]观察乌梅调中颗粒治疗小儿功能性再发性腹痛疗效。[方法]使用随机平行对照方法,将80例门诊患者按病志号抽签法简单随机分为两组。对照组40例阿托品,0.01~0.02mg/kg,3次/d,皮注。治疗组40例乌梅调中颗粒(元胡、白芍、藿香、川楝子、槟榔各10g,乌梅、川椒、小茴香、枳壳、木香、生甘草、砂仁、黄芩、法半夏、山楂焦、神曲焦、麦芽焦各6g,黄连3g),磨粉装袋,<5岁半袋/次,>5岁1袋/次,早晚口服。连续治疗10d为1疗程。观测临床症状、脐腹胀痛、不良反应。连续治疗3个疗程,判定疗效。[结果]治疗组痊愈24例,有效15例,无效1例,总有效率97.50%。对照组痊愈18例,有效10例,无效12例,总有效率70.00%。治疗组疗效优于对照组(P<0.05)。腹痛缓解时间治疗组改善优于对照组(P<0.05,P<0.01)。[结论]参四方煎剂在治疗顽固性腹泻效果显著,无严重不良反应,值得推广。
[Objective] To observe the curative effect of WuMei Tiaozhong Granules on functional recurrent abdominal pain in children. [Methods] Using randomized parallel control method, 80 outpatients were randomly divided into two groups according to the random number of patients with pathological drawing. Control group, 40 cases of atropine, 0.01 ~ 0.02mg / kg, 3 times / d, skin injection. In the treatment group, 40 cases of Wumei Tiaozhong Granules (Yuanhu, Radix Paeoniae Alba, Agastache rugosa, Toosendan sinensis, areca nut, 10g, ebony, Chuanjiao, cumin, Citrus aurantium, Summer, hawthorn coke, Divine Comedy coke, malt coke each 6g, berberine 3g), flour bagging, <5 years and a half bags / time,> 5 years old a bag / time, morning and evening oral. Continuous treatment of 10d for a course of treatment. Observation of clinical symptoms, umbilical abdominal pain, adverse reactions. Continuous treatment of three courses to determine the efficacy. [Result] The treatment group was cured in 24 cases, effective in 15 cases, ineffective in 1 case, the total effective rate was 97.50%. In the control group, 18 cases were cured, 10 cases were effective and 12 cases were ineffective. The total effective rate was 70.00%. The treatment group was better than the control group (P <0.05). The improvement of abdominal pain relief time in treatment group was better than that in control group (P <0.05, P <0.01). [Conclusion] Shenfang decoction has significant effect in treating intractable diarrhea without serious adverse reactions and is worth promoting.