肠炎宁颗粒联合蒙脱石散治疗小儿急性胃肠炎湿热证临床研究
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R725.7

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Clinical Study on Changyanning Granules Combined with Montmorillonite Powder for Acute Gastroenteritis with Damp-Heat Syndrome in Children
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    摘要:

    目的:观察肠炎宁颗粒联合蒙脱石散治疗小儿急性胃肠炎湿热证的临床疗效,以及对血清降钙素 原(PCT)、白细胞计数(WBC) 水平的影响。方法:选取86 例急性胃肠炎湿热证患儿,以简单随机化法分为 对照组和治疗组各43 例。2 组均给予物理或药物降温、口服补液盐、抗生素等对症治疗,对照组在此基础上 给予蒙脱石散治疗,治疗组在对照组基础上给予肠炎宁颗粒治疗,2 组均治疗3 d。比较2 组临床疗效、不良 反应发生率,以及治疗前后排便次数、大便性状评分与血清PCT、WBC 水平。结果:治疗后,治疗组临床疗 效总有效率100%,高于对照组88.37%(P<0.05)。2 组排便次数均较治疗前减少(P<0.05),大便性状评分 均较治疗前降低(P<0.05);治疗组排便次数少于对照组(P<0.05),大便性状评分低于对照组(P< 0.05)。2 组血清PCT、WBC 水平均较治疗前降低(P<0.05),治疗组血清PCT、WBC 水平均低于对照 组(P<0.05)。治疗期间,治疗组不良反应发生率4.65%,与对照组2.33%比较,差异无统计学意义(P> 0.05)。结论:肠炎宁颗粒联合蒙脱石散治疗小儿急性胃肠炎湿热证疗效显著,可改善患儿的临床症状,减轻炎症 反应,且用药安全性高。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Changyanning Granules combined with Montmorillonite Powder on acute gastroenteritis with damp- heat syndrome in children and its effects on the levels of serum procalcitonin (PCT) and white blood cell count (WBC). Methods:A total of 86 children with acute gastroenteritis with damp-heat syndrome were selected and divided into the control group and the treatment group according to the simple randomization method, with 43 cases in each group. Both groups were given symptomatic treatments such as physical or medicine cooling,oral rethydration salt and antibiotics. The control group was additionally treated with Montmorillonite Powder, and the treatment group were additionally treated with Changyanning Granules. Both groups were treated for 3 days. The clinical effects,incidence of adverse reactions,as well as the defecation times,scores of stool traits and levels of serum PCT and WBC were compared between the two groups before and after treatment. Results:After treatment,the total clinical effective rate was 100% in the treatment group,higher than that of 88.37% in the control group (P<0.05). The defecation times in both groups were reduced when compared with those before treatment (P<0.05), and the scores of stool traits was decreased when compared with those before treatment (P<0.05);the defecation time in the treatment was less than that in the control group (P<0.05),and the score of stool traits was lower than that in the control group (P<0.05). The levels of PCT and WBC in the two groups were decreased when compared with those before treatment (P<0.05),and the above 2 levels in the treatment group were lower than those in the control group (P< 0.05). During treatment,the incidence of adverse reactions was 4.65% in the treatment group and 2.33% in the control group, there being no significance in the difference (P>0.05). Conclusion: Changyanning Granules combined with Montmorillonite Powder has a significant curative effect on acute gastroenteritis with damp- heat syndrome in children, which can improve the clinical symptoms and mitigate the inflammatory responses,with good safety.

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陈瑶,林日梅,樊慧苏,何春风.肠炎宁颗粒联合蒙脱石散治疗小儿急性胃肠炎湿热证临床研究[J].新中医,2023,55(8):130-133

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  • 在线发布日期: 2023-04-25
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