益气清热解毒汤治疗急性感染性腹泻患儿临床研究
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R574.4

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Clinical Study on Yiqi Qingre Jiedu Tang for Children with Acute Infectious Diarrhea
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    摘要:

    目的:观察益气清热解毒汤对急性感染性腹泻患儿血清淀粉样蛋白(SAA)、C-反应蛋白(CRP) 及外周血白细胞计数(WBC) 的影响。方法:将210 例急性感染性腹泻患儿按随机数字表法分为研究组与对照组各105 例。2 组均给予相同的基础治疗,对照组加用头孢他啶治疗,研究组在对照组基础上联合益气清热解毒汤治疗。比较2 组治疗总有效率、临床症状改善时间及治疗前后血清SAA、外周血WBC 及CRP 水平。结果:治疗后,研究组治疗总有效率91.4%,高于对照组70.5%(P<0.05)。研究组脱水、腹痛消失时间及止泻、退热时间均短于对照组(P<0.05)。与同组治疗前比较,治疗后2 组血清SAA、CRP 水平及外周血WBC 均降低(P<0.05);与对照组治疗后比较,研究组治疗后血清SAA、CRP 水平及外周血WBC 均较低(P<0.05)。结论:益气清热解毒汤联合头孢他啶治疗小儿急性感染性腹泻效果显著,可明显缩短患儿临床症状消失时间,并调节其血清SAA、CRP 及外周血WBC 水平。

    Abstract:

    Abstract:Objective:To observe the effect of Yiqi Qingre Jiedu tang on serum amyloid protein(SAA),C-reactive protein (CRP) and peripheral white blood cell counts(WBC) in children with acute infectious diarrhea. Methods:A total of 210 cases of children with acute infectious diarrhea were divided into the study group and the control group according to the random number table method,with 105 cases in each group. Both groups were given the same basic treatment;the control group was additionally treated with ceftazidime,and the study group was additionally treated with Yiqi Qingre Jiedu tang based on the treatment of the control group. The levels of serum SAA,peripheral WBC and CRP before and after treatment as well as the total effective rates and the improvement time of clinical symptoms in the two groups were compared. Results: After treatment,the total effective rate was 91.4% in the study group,higher than that of 70.5% in the control group(P<0.05). The disappearance time of dehydration and abdominal pain,antidiarrheal time and antipyretic time in the study group were shorter than those in the control group(P<0.05). After treatment,the levels of SAA and CRP in serum and peripheral WBC in the two groups were decreased when compared with those before treatment(P<0.05);the levels of SAA and CRP in serum and peripheral WBC in the study group were lower than those in the control group(P<0.05). Conclusion:The therapy of Yiqi Qingre Jiedu tang combined with ceftazidime for children with acute infectious diarrhea has a significant effect,which can significantly shorten the disappearance time of clinical symptoms, and regulate the levels of SAA and CRP in serum and peripheral WBC.

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何辉,吴锐.益气清热解毒汤治疗急性感染性腹泻患儿临床研究[J].新中医,2022,54(7):139-142

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  • 在线发布日期: 2022-04-12
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