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目的:观察中药脐部贴敷对食物不耐受型儿童慢性腹泻患者的临床疗效及饮食健康教育的价值。方法:将来自多中心的80例食物不耐受型儿童慢性腹泻患者根据随机数字表分为治疗组40例和对照组40例。两组均根据患儿血清中食物特异性Ig G抗体浓度,分别采取统一的“安全进食”、“轮替”、“忌食”的健康饮食指导,治疗组患儿给予中药脐部贴敷治疗。治疗1星期、2星期、4星期及12星期后观察并比较两组疗效及中医症状评分变化。结果:治疗后两组患者的症状评分均明显下降,与本组治疗前有统计学差异(均P<0.05),组间差异亦具有统计学意义(P<0.05)。对照组总有效率为77.5%,治疗组总有效率为97.5%,两组总有效率差异有统计学意义(P<0.05)。结论:根据食物不耐受检测结果对患儿进行健康饮食指导止泻有效,中药脐部贴敷对食物不耐受型儿童慢性腹泻具有更好的止泻作用,可显著提高疗效。
OBJECTIVE: To observe the clinical efficacy and the value of dietary health education in patients with chronic diarrhea caused by food-napping in the application of umbilical cord. Methods: 80 cases of chronic diarrhea in children with food-intolerant children from multiple centers were divided into treatment group (40 cases) and control group (40 cases) according to random number table. Both groups were based on the serum concentrations of food-specific Ig G antibodies, respectively, to take a unified “Safe Eating”, “Rotation”, “Eat” healthy diet guidance, treatment group children given Chinese medicine umbilical sticking treatment. After treatment for 1 week, 2 weeks, 4 weeks and 12 weeks, the curative effect and symptom score of TCM were observed and compared. Results: After treatment, the symptom scores of both groups were significantly decreased (P <0.05), and the difference between the two groups was also statistically significant (P <0.05). The total effective rate of the control group was 77.5%, the total effective rate of the treatment group was 97.5%, the total effective rate difference between the two groups was statistically significant (P <0.05). Conclusion: Based on the result of food intolerance test, it is effective to prevent and treat diarrhea in children with healthy diet. Umbilical application of traditional Chinese medicine has a better anti-diarrhea effect on chronic diarrhea in children with food-intolerance, and can significantly improve the curative effect.