葛根芩连汤联合常规疗法治疗小儿轮状病毒肠炎临床研究
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R725.7

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Clinical Study on Gegen Qinlian Tang Combined with Routine Therapy for Rotavirus Enteritis in Children
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    摘要:

    目的:观察葛根芩连汤联合常规疗法治疗小儿轮状病毒肠炎的疗效及对轮状病毒抗体转阴的影响。方法:纳入60例轮状病毒肠炎(湿热泻)患儿,按随机数字表法分为对照组和观察组各30例。2组均给予常规干预措施、利巴韦林注射液静脉滴注,观察组予葛根芩连汤治疗。2组连续治疗7天。治疗前后评定2组患儿的湿热泻症状评分,记录2组治疗3天、7天的轮状病毒转阴情况与患儿的退热时间、止泻时间、轮状病毒转阴时间、止吐时间,比较2组的临床疗效。结果:治疗后,观察组总有效率为93.33%,高于对照组的66.67%,差异有统计学意义(P<0.05)。2组大便泄泻、色褐而臭、小便短赤、口渴评分均较治疗前减少(P<0.01),观察组各项症状评分均低于对照组(P<0.01)。观察组治疗3天、7天的粪便轮状病毒转阴率均高于对照组(P<0.05)。观察组的退热时间、止吐时间、止泻时间、轮状病毒转阴时间均较对照组缩短(P<0.01)。结论:在常规疗法基础上加用葛根芩连汤治疗小儿轮状病毒肠炎可加快症状好转,提高疗效。

    Abstract:

    To observe the curative effect of Gegen Qinlian tang combined with routine therapy for children with rotavirus enteritis and the effect on antibody negative conversion of rotavirus enteritis.Methods:Enrolled 60 cases of children with rotavirus enteritis(hygropyretic diarrhea)and divided them into the control group and the observation group with 30 cases in each group according to the random number table.Both groups were both given routine intervention measures,intravenous infusion of ribavirin injection,and the observation group was treated with Gegen Qinlian tang.The two groups were treated continuously for 7 days.Evaluated the symptom scores of damp-heat diarrhea in children in the two groups before and after treatment.Recorded the negative conversion conditions of rotavirus at 3 and 7 days of treatment,defervescence time,checking diarrhea time,negative conversion time of rotavirus enteritis and the antiemetic time of the two groups,and compared the clinical effect of the two groups.Results:After treatment,the total effective rate of the observation group was 93.33%,which was higher than that of 66.67%in the control group,difference being significant(P<0.05).The scores of brown smelly fecal diarrhea,scanty dark urine and thirst in the two groups were lower than those before treatment(P <0.01),and the scores of each symptom in the observation group were lower than those in the control group(P < 0.01).The negative conversion rate of rotavirus in the observation group was higher than that in the control group at 3 and 7 days of treatment(P < 0.05).The defervescence time,antiemetic time,checking diarrhea time and negative conversion time of rotavirus enteritis of the observation group were shorter than those of the control group(P<0.01).Conclusion:The additional application of Gegen Qinlian tang on the basis of routine therapy for children with rotavirus enteritis can accelerate the improvement of symptoms and increase the curative effect.

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黄芳,杨一波,徐婉儿.葛根芩连汤联合常规疗法治疗小儿轮状病毒肠炎临床研究[J].新中医,2019,51(10):47-49

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  • 在线发布日期: 2019-10-11
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