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目的:观察中西医结合治疗小儿迁延性、难治性腹泻的临床疗效,为治疗小儿迁延性、难治性腹泻提供临床参考依据。方法:选取2012年3月~2014年3月在我社区卫生服务中心接受诊疗的符合迁延性、难治性腹泻诊断标准的100例患儿作为研究对象,按照治疗方法的不同分为实验组与对照组,对照组患者采用腹泻常规治疗联合应用培菲康,实验组患者在对照组的基础上使用中医辨证治疗,观察记录两组患者的临床治疗效果及治疗时间和用药后的不良反应情况。结果:实验组与对照组相比,实验组治愈36例,有效14例,总有效率为100.00%,对照组治愈29例,有效13例,总有效率为84.00%,两组患儿治疗总有效率相比,P<0.05,差异具有统计学意义;实验组的治疗时长为3~7天,平均治疗时间为(5.12±0.46)天,对照组的治疗时长为4~10天,平均治疗时间为(7.58±3.56)天,两组患儿平均治疗时间比较,P<0.05,差异有统计学意义;两组患者治疗后总不良反应率比较,实验组明显低于对照组,差异具有统计学意义(P<0.05)。结论:中西医结合治疗小儿迁延性、难治性腹泻比单纯西医治疗患者症状、体征改善显著,方法简单,不良反应少,安全性高,值得临床应用以及推广。
Objective: To observe the clinical efficacy of traditional Chinese and western medicine in the treatment of pediatric persistent and refractory diarrhea, and to provide a clinical reference for the treatment of persistent and refractory diarrhea in children. Methods: A total of 100 children who met the diagnostic criteria of persistent and refractory diarrhea admitted to our community health service center from March 2012 to March 2014 were selected as the research subjects. According to the different treatment methods, the experimental group and Patients in the control group and the control group were treated with routine diarrhea combined with Peifei Kang. The patients in the experimental group were treated with TCM according to the control group. The clinical effects, the treatment time and the adverse reactions after the treatment were recorded and recorded. Results: The experimental group compared with the control group, the experimental group cured 36 cases, effective in 14 cases, the total effective rate was 100.00%, 29 cases were cured in the control group, effective in 13 cases, the total effective rate was 84.00% The average treatment time was (5.12 ± 0.46) days, the control group, the treatment duration was 4 to 10 days, the average treatment The time was (7.58 ± 3.56) days, the average treatment time between the two groups of children, P <0.05, the difference was statistically significant; two groups of patients after treatment, the total adverse reaction rate was significantly lower than the experimental group, the difference was statistically Significance (P <0.05). Conclusion: Integrative Chinese medicine treatment of children with persistent, refractory diarrhea than Western medicine treatment of patients with symptoms and signs improved significantly, the method is simple, less adverse reactions, high safety, deserved clinical application and promotion.