[1]王荣英.补中益气颗粒联合常规西药治疗小儿慢性腹泻脾气亏虚型50例临床观察[J].中医儿科杂志,2019,15(03):51-54.[doi:10.16840/j.issn1673-4297.2019.03.17]
 WANG Rongying.Clinical observation on 50 cases of Buzhong Yiqi Keli(补中益气颗粒)combined with routine Western medicine in the treatment of pediatric chronic diarrhea with insufficiency of the spleen-qi type[J].Journal of Pediatrics of Traditional Chinese Medicine,2019,15(03):51-54.[doi:10.16840/j.issn1673-4297.2019.03.17]
点击复制

补中益气颗粒联合常规西药治疗小儿慢性腹泻脾气亏虚型50例临床观察
分享到:

《中医儿科杂志》[ISSN:/CN:62-1176/R]

卷:
15
期数:
2019年03期
页码:
51-54
栏目:
临床研究与报道
出版日期:
2019-05-25

文章信息/Info

Title:
Clinical observation on 50 cases of Buzhong Yiqi Keli(补中益气颗粒)combined with routine Western medicine in the treatment of pediatric chronic diarrhea with insufficiency of the spleen-qi type
作者:
王荣英
绍兴市妇幼保健院儿科, 浙江 绍兴 312000
Author(s):
WANG Rongying
Department of Pediatrics, Shaoxing Maternal and Child Health Hospital, Shaoxing, Zhejiang, 312000, China
关键词:
慢性腹泻小儿补中益气颗粒临床观察
Keywords:
chronic diarrheachildrenBuzhong Yiqi Keli (补中益气颗粒)clinical observation
分类号:
R256.34
DOI:
10.16840/j.issn1673-4297.2019.03.17
摘要:
目的 观察补中益气颗粒联合常规西药治疗小儿慢性腹泻脾气亏虚型的临床疗效。方法 选取2012年12月至2017年12月在绍兴市妇幼保健院儿科门诊治疗的慢性腹泻脾气亏虚型患儿100例,按诊治时间先后顺序分为对照组和治疗组,各50例。对照组予常规西药治疗,治疗组在对照组治疗方法的基础上采用补中益气颗粒治疗,2组均连续治疗10 d后统计疗效。结果 治疗组总有效率为96.0%,明显高于对照组的74.0%,2组比较,差异有统计学意义(P<0.05)。治疗前2组血清锌、IgA、IgG水平比较,差异无统计学意义(P>0.05),具有可比性。治疗后2组血清锌、IgA、IgG水平均高于同组治疗前,差异均有统计学意义(P<0.01),且治疗组上升更显著(P<0.01)。对照组总不良反应发生率为12.0%,治疗组为16.0%,2组比较,差异无统计学意义(P>0.05)。结论 补中益气颗粒联合常规西药治疗小儿慢性腹泻脾气亏虚型临床疗效显著,不仅能明显提高血清锌、IgA、IgG水平,而且能降低不良反应率,安全可靠,值得临床推广应用。
Abstract:
Objective To observe the clinical efficacy of Buzhong Yiqi Keli (补中益气颗粒) combined with montmorillonite powder in the treatment of pediatric chronic diarrhea with insufficiency of the spleen-qi type.Methods Totally 100 cases of pediatric chronic diarrhea with insufficiency of the spleen-qi type admitted to department of pediatrics of Shaoxing Maternal and Child Health Hospital from December 2012 to December 2017 were chosen and divided into control group and treatment group according to the order of admission and treatment,with 50 cases in each.The control group was given routine Western medicine treatment,and the treatment group was given Buzhong Yiqi Keli on the basis of the control group.We kept statistics about the clinical efficacy after the 2 groups were both treated consecutively for 10 days.Results The total effective rate of the treatment group was 96.0%,which was significantly higher than 74.0% of the control group,and the difference was statistically significant between the two groups (P<0.05).Before treatment,the difference was not statistically significant in the serum zinc,IgA and IgG levels between the two groups (P>0.05),and they were comparable.After treatment,the serum zinc,IgA and IgG levels were all higher than those of the same group before treatment,and the difference was statistically significant (P<0.01), moreover,the treatment group increased more significantly (P<0.01).The total incidence rate of adverse reactions of the control group was 12.0%,that of the treatment group was 16.0%,the difference was not statistically significant between the two groups (P>0.05).Conclusion It has marked clinical efficacy to use Buzhong Yiqi Keli combined with routine Western medicine in the treatment of pediatric chronic diarrhea with insufficiency of the spleen-qi type,which not only can markedly increase the serum zinc,IgA and IgG levels,but also decrease the adverse reactions rate with safety and reliability.It deserves clinical promotion and application.

参考文献/References:

[1] 王静.补中益气颗粒联合曲美布汀治疗脾胃虚弱证腹泻型肠易激综合征的疗效观察[J].现代药物与临床,2017,32(2):284-288.
[2] 方鹤松, 魏承毓. 中国腹泻病诊断治疗方案[J]. 中国实用儿科杂志,1998,13(6):381-384.
[3] 国家中医药管理局. 中医病证诊断疗效标准[S].南京:南京大学出版社,1994:2-3.
[4] 杜赢.蒙脱石散联合双歧三联活菌胶囊对小儿腹泻的疗效观察及机理探讨[J].现代消化及介入诊疗,2016,21(3):394-396.

相似文献/References:

[1]辛晶.刘振寰教授治疗小儿屏气发作经验[J].中医儿科杂志,2015,(04):3.
 XIN Jing.Professor LIU Zhenhuan’s experience in treating infantile breath holding spell[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):3.
[2]潘馨,邵梦洁.穴位敷贴防治小儿感染后气道高反应咳嗽110例临床观察[J].中医儿科杂志,2015,(04):16.
 PAN Xin,SHAO Mengjie.Clinical observation of acupoint sticking in the treatment of 110 cases of children airway hyper reactivity cough after infection[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):16.
[3]谢敏,吕旭艳.黄芪颗粒治疗小儿反复呼吸道感染(营卫失和型)65例临床疗效分析[J].中医儿科杂志,2015,(04):20.
 XIE Min,LUE Xuyan.Clinical efficacy of Astragalus Particles in treating children recurrent respiratory tract infection of ying-wei disharmony type[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):20.
[4]江春燕,李成国,姚伟光.葶苈大枣泻肺汤加味外敷治疗小儿痰湿咳嗽200例临床观察[J].中医儿科杂志,2015,(04):28.
 JIANG Chunyan,LI Chengguo,YAO Weiguang.Clinical observation of external application of modified Tingli Dazao Xiefei Tang in the treatment of 200 cases of children with phlegm damp cough[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):28.
[5]汪永峰.中西医结合治疗小儿手足口病54例临床观察[J].中医儿科杂志,2015,(04):44.
 WANG Yongfeng.Clinical observation of integrated western and TCM medicine in treating 54 cases of children hand-foot-mouth disease[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):44.
[6]荣志云,张源,丛丽.小儿积滞发病的相关因素调查[J].中医儿科杂志,2015,(04):47.
 Rongzhiyun,Zhangyuan,Cong Li.Investigation on related factors of the pathogenesis of infantile dyspepsia[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):47.
[7]王良军.中西医结合治疗小儿幽门螺杆菌相关性胃炎73例临床观察[J].中医儿科杂志,2015,(04):53.
 WANG Liangjun.Clinical observation of TCM combined with western medicines in treating 73 cases of children Hp-associated gastritis[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):53.
[8]张梦桃,张映芬,李玉秀,等.脑瘫患儿睡眠障碍的护理[J].中医儿科杂志,2015,(04):70.
 ZHANG Mengtao,ZHANG Yingfen,LI Yuxiu,et al.Nursing care on sleep disorders of children with cerebral palsy[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):70.
[9]邬颖菲.苍苓止泻口服液辅助治疗小儿脾虚泻的临床疗效及护理措施[J].中医儿科杂志,2015,(04):73.
 WU Yingfei.Clinical efficacy and nursing care in the adjuvant treatment of spleen deficiency diarrhea in children with Cangling Zhixie Koufuye[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):73.
[10]张春玲.倪晓红主任医师论治小儿疳积经验[J].中医儿科杂志,2015,(02):10.
 ZHANG Chunling.Chief physician NI Xiaohong’s experience on the treatment of infantile malnutrition[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):10.
[11]曾爱华,梁玉,周俊亮.运脾温阳法治疗小儿慢性腹泻疗效观察及对细胞免疫的影响[J].中医儿科杂志,2015,(03):46.
 ZENG Aihua,LIANG Yu,ZHOU Junliang.Curative effect of invigorating spleen and warming yang therapy in the treatment of pediatric chronic diarrhea and its influence on cellular immunity[J].Journal of Pediatrics of Traditional Chinese Medicine,2015,(03):46.

备注/Memo

备注/Memo:
作者简介:王荣英(1981-),女,主治医师,医学学士,主要从事儿科急诊工作。
更新日期/Last Update: 1900-01-01