蒙脱石散联合地衣芽孢杆菌活菌胶囊对腹泻患儿的临床效果(1)
【摘要】 目的：探讨蒙脱石散联合地衣芽孢杆菌活菌胶囊对腹泻患儿的临床效果。方法：选取2017年6月-2018年6月入住笔者所在医院的腹泻患儿142例，按治疗方式分为两组，各71例。对照组予以枯草杆菌二联活菌颗粒联合蒙脱石散进行治疗，研究组予以地衣芽孢杆菌活菌胶囊联合蒙脱石散进行治疗，比较两组治疗有效率，治疗后1、2、3、4 d排便次数，腹泻病程，止泻用时及住院时长。结果：研究组治疗总有效率明显高于对照组(P<0.05)。治疗后1 d，两组排便次数比较，差异无统计学意义(P>0.05);治疗后2、3、4 d，研究组排便次数均少于对照组(P<0.05)。研究组腹泻病程、止泻用时及住院时长均短于对照组(P<0.05)。结论：在治疗腹泻患儿过程中，使用蒙脱石散联合地衣芽孢杆菌活菌胶囊治疗效果显著，值得在临床上广泛推广与应用。
【关键词】 蒙脱石散 地衣芽孢杆菌活菌胶囊 腹泻患儿 治疗有效率 排便次数
doi：10.14033/j.cnki.cfmr.2019.30.063 文献标识码 B 文章编号 1674-6805(2019)30-0-03
[Abstract] Objective： To investigate the clinical effect of Montmorillonite Powder combined with Bacillus Licheniformis Capsule on children with diarrhea. Method： A total of 142 children with diarrhea admitted to our hospital from June 2017 to June 2018 were enrolled in the study. Children were divided into two groups according to the treatment methods， 71 cases in each group. The control group was treated with Combined Bacillus Subtilis and Enterococcus Faecium Granules with Multivitamines and Montmorillonite Powder， and the study group was treated with Bacillus Licheniformis Capsule combined with Montmorillonite Powder. The total effective rate of treatment， defecating frequency at 1， 2， 3 and 4 d after treatment， the duration of diarrhea， the time of diarrhea cessation and the length of hospital stay were compared between the two groups. Result： The total effective rate of treatment in the study group was significantly higher than that of the control group (P<0.05). And 1 d after treatment， defecating frequency was compared between the two groups， and the difference was not statistically significant (P>0.05). While 2， 3， 4 d after treatment， defecating frequency in the study group were less than those of the control group (P<0.05). The duration of diarrhea， the time of diarrhea cessation and the length of hospital stay in the study group were shorter than those of the control group (P<0.05). Conclusion： In the process of treating children with diarrhea， Montmorillonite Powder combined with Bacillus Licheniformis Capsule has a significant therapeutic effect， which is worthy of widespread promotion and application in clinical practice.
[Key words] Montmorillonite Powder Bacillus Licheniformis Capsule Children with diarrhea Therapeutic efficiency Defecating frequency
First-author’s address： Xinchang County Hospital of Traditional Chinese Medicine， Xinchang 312500， China
嬰幼儿腹泻属于儿科常见病症，由多因素及多种病原体引起，如护理、喂养不当，消化道外的组织及器官感染后也可导致腹泻，如气管炎、皮肤感染、中耳炎、上呼吸道感染、泌尿道感染等，部分急性传染病也可伴有腹泻[1]。婴幼儿腹泻的特点主要为大便性状改变及大便次数增多等，多发于6～12个月的婴幼儿，且秋冬季节发病率较高[2]。引起腹泻的病原体中，最为常见的为轮状病毒。家长通常认为是消化不良，予以多种中药制剂或消化酶，甚至在未进行便检的情况下滥用抗生素，如呋喃唑酮、庆大霉素等，不仅无法控制病情，还可能增大患儿病情加重的风险[3]。目前，对于不明原因所致的腹泻通常予以微生态制剂联合蒙脱石散口服进行治疗，临床效果明显[4]。笔者所在医院在治疗腹泻患儿过程中使用蒙脱石散联合地衣芽孢杆菌活菌胶囊，效果确切，报道如下。, 百拇医药(潘晓英)
【关键词】 蒙脱石散 地衣芽孢杆菌活菌胶囊 腹泻患儿 治疗有效率 排便次数
doi：10.14033/j.cnki.cfmr.2019.30.063 文献标识码 B 文章编号 1674-6805(2019)30-0-03
[Abstract] Objective： To investigate the clinical effect of Montmorillonite Powder combined with Bacillus Licheniformis Capsule on children with diarrhea. Method： A total of 142 children with diarrhea admitted to our hospital from June 2017 to June 2018 were enrolled in the study. Children were divided into two groups according to the treatment methods， 71 cases in each group. The control group was treated with Combined Bacillus Subtilis and Enterococcus Faecium Granules with Multivitamines and Montmorillonite Powder， and the study group was treated with Bacillus Licheniformis Capsule combined with Montmorillonite Powder. The total effective rate of treatment， defecating frequency at 1， 2， 3 and 4 d after treatment， the duration of diarrhea， the time of diarrhea cessation and the length of hospital stay were compared between the two groups. Result： The total effective rate of treatment in the study group was significantly higher than that of the control group (P<0.05). And 1 d after treatment， defecating frequency was compared between the two groups， and the difference was not statistically significant (P>0.05). While 2， 3， 4 d after treatment， defecating frequency in the study group were less than those of the control group (P<0.05). The duration of diarrhea， the time of diarrhea cessation and the length of hospital stay in the study group were shorter than those of the control group (P<0.05). Conclusion： In the process of treating children with diarrhea， Montmorillonite Powder combined with Bacillus Licheniformis Capsule has a significant therapeutic effect， which is worthy of widespread promotion and application in clinical practice.
[Key words] Montmorillonite Powder Bacillus Licheniformis Capsule Children with diarrhea Therapeutic efficiency Defecating frequency
First-author’s address： Xinchang County Hospital of Traditional Chinese Medicine， Xinchang 312500， China
嬰幼儿腹泻属于儿科常见病症，由多因素及多种病原体引起，如护理、喂养不当，消化道外的组织及器官感染后也可导致腹泻，如气管炎、皮肤感染、中耳炎、上呼吸道感染、泌尿道感染等，部分急性传染病也可伴有腹泻[1]。婴幼儿腹泻的特点主要为大便性状改变及大便次数增多等，多发于6～12个月的婴幼儿，且秋冬季节发病率较高[2]。引起腹泻的病原体中，最为常见的为轮状病毒。家长通常认为是消化不良，予以多种中药制剂或消化酶，甚至在未进行便检的情况下滥用抗生素，如呋喃唑酮、庆大霉素等，不仅无法控制病情，还可能增大患儿病情加重的风险[3]。目前，对于不明原因所致的腹泻通常予以微生态制剂联合蒙脱石散口服进行治疗，临床效果明显[4]。笔者所在医院在治疗腹泻患儿过程中使用蒙脱石散联合地衣芽孢杆菌活菌胶囊，效果确切，报道如下。, 百拇医药(潘晓英)
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