中药穴位贴敷佐治小儿消化不良型腹泻的效果观察

钟兰芳

[摘要] 目的 探讨中药穴位贴敷佐治小儿消化不良型腹泻的效果。 方法 选取本院2013年5月～2014年5月收治的106例小儿消化不良型腹泻患者作为研究对象，随机分为研究组与对照组，各53例。对照组采用布拉酵母菌散剂进行治疗，研究组给予布拉酵母菌散剂联合中药穴位贴敷疗法治疗，两组均治疗1周。比较两组治疗后的临床效果及腹胀、呕吐、腹泻、腹痛持续时间等各项临床指标。 结果 研究组的总有效率为86.8%，显著高于对照组的66.0%，差异有统计学意义（P<0.05）。研究组的腹痛、呕吐、腹胀、腹泻等体征与症状持续时间显著短于对照组，差异有统计学意义（P<0.05）。 结论 中药穴位贴敷佐治小儿消化不良型腹泻效果显著，可改善患儿的临床症状，值得临床推广应用。

[关键词] 临床效果；小儿腹泻；中药穴位贴敷

[中图分类号] R723.11 [文献标识码] A [文章编号] 1674-4721（2015）08（c）-0117-03

[Abstract] Objective To explore the clinical effect of acupoint application of Chinese herbal medicine as an adjuvant therapy in the treatment of pediatric lientery. Methods 106 children with pediatric lientery from May 2013 to May 2014 in our hospital were selected and randomly divided into the research group and the control group，53 cases in each group.The control group was treated with Saccharomyces boulardii sachets，the research group was treated with Saccharomyces boulardii sachets conbined with acupoint application of Chinese herbal medicine.The courses of treatment lasted one week.The clinical effect and indexes including time of abdominal distension，vomiting，diarrhea and abdominal pain in two groups was compared. Results The total effective rate in the research group was 86.8%，which was higher than 66.0% in the control group，with significant difference （P<0.05）.The duration of abdominal pain，vomiting，abdominal distension and diarrhea in the research group was shorter than that in the control group，with significant difference （P<0.05）. Conclusion The effect of acupoint application of Chinese herbal medicine as an adjuvant therapy in the treatment of pediatric lientery is significant，which can greatly improve the clinical manifestations，it is worthy of clinical promotion and application.

[Key words] Clinical effect；Children with diarrhea；Acupoint application of Chinese herbal medicine

小儿消化不良型腹泻是儿科常见的胃肠综合征，多发生在1岁以下儿童[1]。其临床特征主要为呕吐、腹泻，夏秋季节发病率较高，是胃肠道功能急性紊乱性病变，如未给予及时有效的诊治，可引发贫血、营养不良等情况，严重影响患儿的生命健康及质量。有研究显示，采用中药穴位贴敷佐治疗法治疗小儿消化不良型腹泻，可显著改善患儿的临床症状，临床效果确切[2]。本研究选取本院的小儿消化不良型腹泻患儿作为研究对象，给予布拉酵母菌散剂联合中药穴位贴敷佐治疗法，取得了较满意的效果。

1 资料与方法

1.1 一般资料

选取本院2013年5月～2014年5月收治的106例消化不良性腹泻患儿作为研究对象，其中男61例，女45例；年龄6个月～1岁，平均（7.3±0.2）个月；病程10 d～1个月，平均（12.2±1.4） d。纳入标准：符合中华医学会儿科学会制订的小儿腹泻诊断标准[3]；经相关影像学、实验室检查结合临床症状确诊。……