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[目的]观察止泻合剂配合保留灌肠联合西药治疗小儿腹泻疗效。[方法]使用随机平行对照方法,将84例住院患者按随机数字表法分为两组。脱水给予适当补液以纠正电解质紊乱。对照组42例金双歧,0.5g/次,3次/d;思密达,1.5g/次,3次/d。治疗组42例止泻合剂配合保留灌肠。止泻合剂(茯苓、党参、白扁豆各15g,木香、肉桂、陈皮、白术、黄芩、防风、薏苡仁各10g,人参6～8g,砂仁6g,五味子、甘草各5g,黄连3g);1剂/d,加水500～600mL,浸泡1 h后煎15～20min,浓缩至60～100mL后早晚服用。药渣重煎,取汁300mL行保留灌肠,25～30mL/次,以50mL注射器接一次性吸痰管灌肠。西药治疗同对照组。连续治疗3d为1疗程。观测临床症状、粪便性状、次数、不良反应。连续治疗1疗程,判定疗效。[结果]治疗组显效24例,有效17例,无效1例,总有效率97.62%。对照组显效10例,有效26例,无效6例,总有效率85.71%。治疗组疗效优于对照组(P<0.05)。[结论]止泻合剂配合保留灌肠联合西药治疗小儿迁延性腹泻效果显著,值得推广使用。
[Objective] To observe the efficacy of antidiarrheal mixture with retention enema and western medicine in treating pediatric diarrhea. [Methods] Using randomized parallel method, 84 inpatients were divided into two groups according to random number table. Dehydration Give proper rehydration to correct electrolyte imbalance. The control group of 42 cases of bifidobacterium, 0.5g / times, 3 times / d; Smecta, 1.5g / times, 3 times / d. The treatment group 42 cases of antidiarrheal mixture with retention enema. Anti-diarrhea mixture (Poria, Codonopsis, white beans each 15g, woody, cinnamon, dried tangerine peel, Atractylodes, skullcap, wind, Coix each 10g, ginseng 6 ~ 8g, Amomum 6g, Schisandra, licorice 5g, Coptis 3g); 1 dose / d, add water 500 ~ 600mL, soaked for 1 h fried 15 ~ 20min, concentrated to 60 ~ 100mL after taking morning and evening. Dregs decoction, take juice 300mL line retention enema, 25 ~ 30mL / times, 50mL syringe then take a suction tube enema. Western medicine treatment with the control group. Continuous treatment of 3d for a course of treatment. Observation of clinical symptoms, stool characteristics, frequency, adverse reactions. Continuous treatment of a course of treatment to determine the efficacy. [Result] The treatment group was effective in 24 cases, effective in 17 cases, ineffective in 1 case, the total effective rate was 97.62%. Control group markedly effective in 10 cases, effective in 26 cases, 6 cases, the total effective rate was 85.71%. The treatment group was better than the control group (P <0.05). [Conclusion] Antidiarrheal mixture with retention enema combined with Western medicine has a significant effect on persistent diarrhea in children, which is worth promoting.