CAJ | 학술논문

目的:评价中医外治三联疗法(中药敷脐+推拿+茜草泡足)治疗婴幼儿轮状病毒肠炎的效果.方法:轮状病毒肠炎患儿300例,随机分为治疗组和对照组,两组患儿有脱水者采用静脉输液纠正脱水及电解质紊乱,伴发热者给予退热处理,对照组采用口服微生态制剂(妈咪爱)、蒙脱石散(思密达)治疗,治疗组采用中医外治三联疗法,即中药敷脐+推拿+茜草泡足治疗.结果:治疗组与对照组入院当天临床症状评分无统计学意义(P>0.05),说明两组具有可比性;治疗48h及治疗72h临床症状评分治疗组均低于对照组(P<0.05),说明治疗组对临床症状的缓解明显优于对照组.治疗组和对照组临床疗效的比较,两组具有显著差异(χ2=16.315,P<0.001),治疗组疗效明显优于对照组.住院时间、住院费用的比较,治疗组住院时间短(P<0.05),住院费用低(P<0.05).结论:中医外治三联疗法治疗婴幼儿轮状病毒肠炎,疗效好,住院时间短,住院费用低,无创伤,少痛苦,患儿乐于接受,具有临床应用价值,值得基层医院推广.
목적:평개중의외치삼련요법(중약부제+추나+천초포족)치료영유인륜상병독장염적효과.방법:륜상병독장염환인300례,수궤분위치료조화대조조,량조환인유탈수자채용정맥수액규정탈수급전해질문란,반발열자급여퇴열처리,대조조채용구복미생태제제(마미애)、몽탈석산(사밀체)치료,치료조채용중의외치삼련요법,즉중약부제+추나+천초포족치료.결과:치료조여대조조입원당천림상증상평분무통계학의의(P>0.05),설명량조구유가비성;치료48h급치료72h림상증상평분치료조균저우대조조(P<0.05),설명치료조대림상증상적완해명현우우대조조.치료조화대조조림상료효적비교,량조구유현저차이(χ2=16.315,P<0.001),치료조료효명현우우대조조.주원시간、주원비용적비교,치료조주원시간단(P<0.05),주원비용저(P<0.05).결론:중의외치삼련요법치료영유인륜상병독장염,료효호,주원시간단,주원비용저,무창상,소통고,환인악우접수,구유림상응용개치,치득기층의원추엄.
Objective:To evaluate the effect of the Chinese traditional external therapy (Chinese medicine plaster on navel together with manipulation and madder foam foot) for infants with acute rotavirus enteritis.Methods:300 cases of infants with acute rotavirus enteritis were randomly divided into treatment group or control group.If there were dehydrators, intravenous transfusion would be taken to retrieve the anhydration and electrolyte disturbances.Patients with fever were given fever processing.The treatment group used the Chinese traditional external triple therapy (Chinese medicine plaster on navel+manipulation+madder foam foot), while the control group were given probiotics (MAMIAI) and Montmorillonite powder (Smecta).Results:The scores of clinical symptom on the admission day of the two groups have no statistically significant (P>0.05), indicating that the two groups are comparable.After 48h and 72h of treatment, the scores of clinical symptom of treatment group both are lower than those of control group (P<0.05), showing that the remission of clinical symptom of treatment group is more than that of control group.With the compareation of the clinical efficacy of the treatment group and the control group, we can get that there is significant difference (χ2=16.315, P<0.001) and the clinical efficacy of the treatment group is much better than that of the control group.As the compareation of hospital stays and hospitalization expenses showing, the hospital stays is shorter (P<0.05) and the hospitalization is lower (P<0.05) of treatment group Conclusion:Using Chinese external triple therapy for infants with acute rotavirus enteritis is more effective, with shorter hospital stay, lower cost of hospitalization, non-invasive, less painful, children willing to accepting, therefore has clinical value and is worth of promotion in primary hospital.