番石榴叶治疗急性湿热型腹泻40例分析(1)
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【摘 要】 目的：急性腹泻多由细菌及病毒感染而发,以腹泻、腹胀、肠道痉挛性腹痛等为临床症状。研究发现.在急性腹泻患者中,湿热型(腹痛、腹胀，发热、肛门灼热、口干口苦)占较高比例。本研究参照《中医消化病诊疗指南》[1]关于急性湿热型腹泻的诊断标准，采用单药番石榴叶治疗与对照思密达对比，发现番石榴叶组效果理想，其价格低廉、简单易行、安全可靠.尤其适合医药不便的农村及经济欠发达地区。
【关键词】 急性腹泻；番石榴叶；湿热型腹泻疗；价廉物美
The 40 Case Analysis of the treatment with Guava leaf for dampness and heat of acute diarrhea,CHEN Mingren
(Yangchun Chinese medical hospital, No.2 Yongjun Road, Chuncheng Town, Yangchun City, Guangdong)
【Abstract】Objective Acute diarrhea most commonly results from diarrhea or virus infection, The clinical symptoms are diarrhea, abdominal distension, spasmodic intestinal tract of bellyache . Based on the research, The dampness and heat acute diarrhea(,bellyache, fever, burning pain in anus, dry throat with a bitter taste) has very high proportion in all of the acute diarrhea patients. This research refer to 《The guide of diagnosis and treatment of the digestive disease with traditional Chinese medical science》[1] The diagnostic criteria about dampness and heat of acute diarrhea, to compare the treatment with Guava leaf to Dioctahedral Smectite, The curative effect is ideal when using Guava leaf ,and It is low price, easy to use, safe and dependable, It is specially good for the countryside where is short of medical supplies and the underdeveloped areas.
【Key words】acute diarrhea,Guava leaf, dampness and heat of acute diarrhea, Low price and good quality
急性腹泻是常见病，一年四季均可发病，发病高峰多在夏秋季节，急性腹泻起病急骤，每天排便可达10次以上，粪便量多而稀薄，排便时常伴腹鸣、肠绞痛或里急后重。在治疗上方法也很多,都以抗炎和对症处理为主,治疗费用比较昂贵,本研究采用番石榴叶治疗夏秋季湿热型急性肠炎，取得满意疗效，现报道如下。
1临床资料
参照《中医消化病诊疗指南》[1]关于急性湿热型腹泻的诊断标准。观察病例均为2009年5月～2010年8月本院门诊、急诊及住院病人符合中西医诊断标准者76例，年龄18～65岁，平均年龄(37±10.13)岁。按就诊先后顺序随机分为治疗组(番石榴叶组)40例，男26例，女14例。对照组(思密达组)36例，男20例，女16例。2组病例起病6小时～4天，均有饮食不洁病史，以腹泻为主，大便呈水样便或稀烂便，泻下急迫，色黄浊，多则达每日20余次，少则每日7～8次，舌红，苔薄黄或黄腻，脉濡或脉滑数。治疗组伴腹痛23例，伴恶心呕吐15例，伴肛门灼热13例，伴口渴欲饮20例，伴小便短赤19例，伴发热3例(体温37.6℃～38.2℃)，血常规WBC>10×109/L 8例。对照组伴腹痛28例，伴恶心呕吐16例，伴肛门灼热15例，伴口渴欲饮18例，伴小便短赤15例，伴发热2例(体温37.5℃～38℃)，血常规WBC>10×109/L 5例。所有病例大便常规检查正常，粪便培养未见致病菌。
2治疗方法
治疗组：予新鲜番石榴叶30g，煎成250mL，1次顿服，3天为1疗程。
对照组：予思密达(博福-益普生(天津)制药有限公司，3g/包),每次1包，倒入50mL温开水中摇匀后口服，每日3次，3天为1疗程。
2组病例如有脱水症状者，均给予常规补液、纠正电解质失衡处理。
3疗效标准与治疗结果 ......
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