[摘要] 目的 观察参苓白术散联合脐贴治疗ICU肠内营养相关性腹泻的临床疗效。 方法 选取2015年3月～2017年12月入住我院ICU肠内营养相关性腹泻患者60例，随机分为对照组与治疗组，每組各30例。两组均给予枯草杆菌二联活菌、蒙脱石散应用，在此基础上治疗组给予参苓白术散联合脐贴应用。观察两组治疗前后腹泻积分变化，计算两组治疗有效率。 结果 两组均可改善腹泻症状、降低腹泻程度积分，但与对照组相比，治疗组改善腹泻情况更为明显。治疗组临床总有效率为93.33%，高于对照组的73.33%，差异有统计学意义(P<0.05)。 结论 ICU肠内营养相关性腹泻患者采用参苓白术散联合脐贴治疗有助于减轻腹泻，临床疗效优于常规治疗方法。

    [关键词] 参苓白术散；脐贴；ICU；肠内营养相关性腹泻

    [中图分类号] R259 [文献标识码] B [文章编号] 1673-9701(2018)30-0139-03

    [Abstract] Objective To observe the clinical efficacy of Shenqi Baizhu Powder combined with umbilical patch in the treatment of enteral nutrition-related diarrhea in ICU. Methods 60 patients with enteral nutrition-associated diarrhea who were admitted to ICU in the First Affiliated Hospital of Henan University of CM from March 2015 to December 2017 were selected and randomly divided into control group and treatment group ......