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目的:观察思密达、异丙嗪、地塞米松联合保留灌肠治疗婴幼儿秋季腹泻的效果。方法:将儿科病房2008-11-01/2009-01-01收治的80例秋季腹泻并轻、中、重度脱水的住院患儿按随机数字分为治疗组和对照组。对照组在常规补液纠正脱水及电解质紊乱的基础上采用口服思密达、金双歧等治疗,治疗组在常规补液纠正脱水及电解质紊乱的基础上采用思密达等保留灌肠治疗。结果:治疗组疗效明显优于对照组,住院时间缩短1~2 d。且减少了喂药困难患儿发生呛咳、哭闹、呕吐的几率。结论:联用思密达、异丙嗪、地塞米松等保留灌肠治疗婴幼儿秋季腹泻疗效较好,值得推广应用。
Objective: To observe the effect of Smecta, Promethazine and dexamethasone combined with retention enema in treating infantile autumn diarrhea. Methods: Eighty children with autumnal diarrhea admitted in pediatric ward from November 2008 to January 2009 were divided into treatment group and control group randomly according to the numbers of inpatients with mild, moderate and severe dehydration. The control group was treated with Oral Smectite and Jinshuangqi on the basis of routine rehydration to correct dehydration and electrolyte imbalance. The treatment group was treated with retention enema such as Smecta on the basis of routine rehydration to correct dehydration and electrolyte imbalance. Results: The treatment group was significantly better than the control group, hospitalization time was shortened 1 ~ 2 d. And reduce the risk of cough, crying, vomiting in children with medication problems. Conclusion: The combination of Smecta, promethazine, dexamethasone and other retention enema for the treatment of infantile autumn diarrhea better effect, it is worth to promote the application.