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目的:通过对七味白术散深入系统研究的基础上,进行七味白术散加味、微生态制剂、及西医常规治疗脾虚泄泻患儿的临床疗效对比观察及分析,为七味白术散对肠道微生态影响的实验研究奠定基础,从而为该方的临床应用提供更多的理论依据,更好的发挥祖国医学的优势。方法:选取脾虚型泄泻患儿90例,随机分成七味白术散(A组)、培菲康散(B组)与单纯西医常规治疗(C组)3组,每组各30例。所有实验组均给予西医常规治疗;A组在此基础上给予七味白术散制剂口服进行治疗;B组给予微生态制剂培菲康散治疗,治疗5天后进行疗效评价。结果:A组总有效率93.3%,B组总有效率86.7%;C组总有效率66.7%。总体疗效七味白术散、培菲康散组与单纯西医常规治疗效果,差异均有统计学意义(P<0.05),但七味白术散组与培菲康散组差异无统计学意义(P>0.05)。结论:总体疗效七味白术散组与培菲康散组明显优于单纯西医常规治疗,但七味白术散组与培菲康散组疗效相当,且不同喂养方式及兼夹证型对该药的疗效可能存在一定影响。
OBJECTIVE: To observe and analyze the clinical curative effect of Qiweibaizhu Powder on intestinal microecology The impact of experimental research to lay the foundation for the clinical application of the party to provide more theoretical basis to better play the advantages of motherland medicine. Methods: Ninety children with spleen deficiency type diarrhea were randomly divided into three groups (group A, group B) and conventional western medicine (group C), 30 patients in each group. All experimental groups were given routine western medicine treatment; Group A was given Qibai Baizhu Powder oral treatment on this basis; Group B was treated with probiotics Peifei Kang San, and the curative effect was evaluated 5 days after treatment. Results: The total effective rate in group A was 93.3%, the total effective rate in group B was 86.7%, and the total effective rate in group C was 66.7%. The overall curative effect of Qiweibaizhu San, Peifu Kang San and simple Western conventional treatment, the differences were statistically significant (P <0.05), but there was no significant difference between the seven-flavor Baizhu San and Peifu Kang San (P> 0.05 ). Conclusion: The overall effect of Qiweibaizhu San and Peifu Kang San was significantly better than conventional Western medicine routine treatment, but the Bawei Baizhu San and Peifu Kang San effective group, and different feeding methods and the combined card type of the efficacy of the drug There may be some impact.