论文部分内容阅读
目的:探讨消旋卡多曲联合醒脾养儿颗粒在小儿轮状病毒性肠炎治疗中的临床价值。方法:选取2014年7月-2016年7月舟山市妇幼保健院收治的小儿轮状病毒性肠炎患儿162例为研究对象,经随机数字表法分为观察组82例,对照组80例,对照组口服补液盐或静脉补液,观察组在对照组基础上加用消旋卡多曲颗粒及醒脾养儿颗粒,观察两组患儿治疗效果、症状改善时间及心肌酶谱变化。结果:观察组与对照组治疗总有效率分别为95.12%、82.50%,观察组显著较高,差异有统计学意义(P<0.05);观察组患儿腹泻、呕吐、发热、脱水症状消失时间同对照组比较,均明显较短,差异有统计学意义(P<0.05);治疗前两组患儿心肌酶谱相关指标无显著差异(P>0.05),治疗后均有改善,观察组治疗后血清磷酸肌酸激酶(CK)、谷草转氨酶(AST)及磷酸肌酸激酶同工酶(CK-MB)水平明显低于对照组,差异有统计学意义(P<0.05)。结论:小儿轮状病毒性肠炎患儿接受消旋卡多曲联合醒脾养儿颗粒治疗,可有效促进症状改善,同时改善心肌酶谱指标,预防或缓解心肌损害,值得推广。
Objective: To investigate the clinical value of racecadotril combined with Xingpi Yanger granule in the treatment of pediatric rotavirus enteritis. Methods: A total of 162 children with rotavirus enteritis in Zhoushan City MCH from July 2014 to July 2016 were selected as study objects. The patients were randomly divided into observation group (82 cases), control group (80 cases) Control group oral rehydration salts or intravenous rehydration, the observation group in the control group based on the use of race card Qiduqu particles and Xingpien Yang children particles were observed in two groups of children with treatment, symptom? My improvement time and changes in myocardial zymogram. Results: The total effective rates of observation group and control group were 95.12% and 82.50%, respectively, the observation group was significantly higher (P <0.05). The diarrhea, vomiting, fever and dehydration symptoms disappeared in the observation group Compared with the control group, were significantly shorter, the difference was statistically significant (P <0.05); before treatment, myocardial enzymes in the two groups showed no significant difference (P> 0.05), after treatment were improved in the observation group Serum levels of creatine kinase (CK), aspartate aminotransferase (AST) and creatine kinase MB (CK-MB) were significantly lower than those of the control group (P <0.05). Conclusion: Pediatric rotavirus enteritis combined with racecadotrophine combined with raising spleen Yanger granule treatment can effectively improve the symptoms, and improve myocardial enzyme markers, prevent or alleviate myocardial damage, it is worth promoting.