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刘艳荣,王娜,张晓茹.健脾按摩法配合口服酪酸梭菌活菌散剂对小儿非感染性急性腹泻的干预效果[J].湖南中医药大学学报英文版,2016,36(7):71-74.[Click to copy
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| 健脾按摩法配合口服酪酸梭菌活菌散剂对小儿非感染性急性腹泻的干预效果 |
| 刘艳荣,王娜,张晓茹 |
| (广州市中医医院, 广东 广州 510130;广州市中西医结合医院, 广东 广州 510800;广东江南医院, 广东 广州 510405) |
| 摘要: |
| 目的 观察健脾按摩法配合口服酪酸梭菌活菌散剂治疗小儿非感染性腹泻的干预效果。方法 选择我院门诊2012年3月～2015年9月期间收治113例非感染性腹泻患儿作为研究对象，对照组（35例）、单纯推拿组（38例）与观察组（40例）。对照组口服酪酸梭菌活菌散剂，单纯推拿组采取健脾按摩法，观察组口服酪酸梭菌活菌散剂联合健脾按摩法，比较三组治疗前后大便次数与大便性状症状积分、IL-6、IL-17、IgA、治愈率、总有效率、不良反应发生率。结果 对照组与单纯推拿组治愈率、总有效率比较无统计学意义；观察组治愈率、总有效率分别为82.5%、100.0%，高于对照组与单纯推拿组（均P<0.05）。三组不良反应发生率及治疗前大便次数、大便性状评分、IL-6、IL-17及IgA水平差异的两两比较无统计学意义；治疗后观察组各项症候评分、IL-6、IL-17水平低于对照组与单纯推拿组，IgA高于对照组与单纯推拿组（均P<0.05）。结论 健脾按摩法配合口服酪酸梭菌活菌散剂治疗小儿非感染性腹泻可调理胃肠菌群，健脾和胃、消食导滞，改善症状与机体消化功能与免疫功能，安全性与患儿接受度高。 |
| 关键词: 非感染性腹泻 小儿 酪酸梭菌活菌 健脾按摩 天枢穴 足三里 |
| DOI：10.3969/j.issn.1674-070X.2016.07.019 |
| Received:March 04, 2016 |
| 基金项目:广州市中医药和中西医结合科技项目（0024469A10629044）。 |
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| Intervention Effect of Activating Spleen and Massage Method combined with Oral Clostridium butyricum Powder on Non-Infectious Acute Diarrhea in Children |
| LIU Yanrong,WANG Na,ZHANG Xiaoru |
| (Guangzhou Hospital of Traditional Chinese Medicine, Guangzhou, Guangdong 510130, China;Hospital of Traditional Chinese and Western Medicine of Guangzhou City, Guangzhou, Guangdong 510800, China;Jiangnan Hospital of Guangdong, Guangzhou, Guangdong 510405, China) |
| Abstract: |
| Objective To observe the intervention effect of Activating Spleen and Massage method combined with oral Clostridium butyricum powder on children with non-infectious acute diarrhea.Methods 113 cases of children with non-infectious diarrhea who were admitted in our hospital between March 2012 and September 2015 were selected as the study objects and were divided into the control group (35 cases),manipulation group (38 cases) and observation group (40 cases).The control group was treated with oral Clostridium butyricum powder,the manipulation group was treated with Activating Spleen and Massage method.The observation group was treated with oral Clostridium butyricum powder combined with Activating Spleen and Massage method.The frequency of defecation,stool property integral,IL-6,IL-17,IgA,cure rate,total effective rate and the incidence of adverse reactions were compared between the three groups.Results The differences in cure rate and total effective rate between the control group and the manipulation group were not significant (P>0.05).The cure rate (82.5%) and total effective rate (100%) in the experimental group were higher than those in the control group and the manipulation group (P<0.05).There were no significant differences in the incidence of adverse reactions,frequency of defecation,stool property integral,IL-6,IL-17 and IgA levels between the three groups before treatment (P>0.05).After treatment,the symptom scores,IL-6 and IL-17 levels in the observation group were lower than those in the control group and the manipulation group while IgA was higher than that in the control group and the manipulation group (P<0.05).Conclusion The Activating Spleen and Massage method combined with oral Clostridium butyricum powder can treat the non-infectious acute diarrhea in children,which also can regulate gastrointestinal flora,strengthening the spleen and stomach,improve the symptom,and improve the digestive function and immune function of the body.Its safety and acceptance in chilidren are also improved. |
| Key words: non-infectious diarrhea children Clostridium butyricum activating spleen and massage Tianshu point Zusanli acupoint |
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