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目的探讨蒙脱石散(思密达)保留灌肠治疗小儿秋冬季腹泻的临床观察及护理。方法 71例小儿秋冬季腹泻患儿,根据随机综合序贯法分为对照组(35例)和观察组(36例)。对照组患儿口服思密达治疗,观察组患儿采用思密达保留灌肠治疗+临床护理,观察两组患儿的治疗效果。结果观察组患儿治疗后显效18例(50.0%),有效16例(44.4%),无效2例(5.6%),治疗总有效率为94.4%;对照组患儿治疗后显效13例(37.1%),有效11例(31.4%),无效11例(31.4%),治疗总有效率为68.6%。观察组患儿治疗总有效率明显高于对照组,差异具有统计学意义(χ~2=7.942,P<0.05)。结论思密达保留灌肠治疗小儿秋冬季腹泻的效果显著,值得临床推广。
Objective To investigate the clinical observation and nursing care of children with autumnal diarrhea treated with montmorillonite powder (Smecta) retention enema. Methods A total of 71 children with diarrhea in autumn and winter were divided into control group (n = 35) and observation group (n = 36) according to the randomized sequential procedure. Children in the control group were treated with oral metaset. Patients in the observation group were treated with Smecta retention enema plus clinical nursing. The therapeutic effect was observed in both groups. Results After treatment, 18 cases (50.0%) were effective in observation group, 16 cases (44.4%) were effective, 2 cases (5.6%) were ineffective, and the total effective rate was 94.4% %), Effective in 11 cases (31.4%), ineffective in 11 cases (31.4%), the total effective rate was 68.6%. The total effective rate of observation group was significantly higher than that of control group, the difference was statistically significant (χ ~ 2 = 7.942, P <0.05). Conclusion Smecta retention enema in children with significant effect of autumn and winter diarrhea, it is worth clinical promotion.