山莨菪碱足三里穴位注射佐治轮状病毒肠炎的临床观察  

A clinical observation of anisodamine point injection in Tsusali for the adjuvant treatment of rotavirus enteritis in children.

作　　者：郭伟中[1] 张晓[1] 黄晓利[1] 李素云[1] 

机构地区：[1]广州中医药大学附属南海妇产儿童医院儿科,广东佛山528200

出　　处：《现代保健（医学创新研究）》2007年第12X期8-9,共2页

摘　　要：目的探讨山莨菪碱（654—2）足三里（双侧）穴位注射辅佐治疗小儿轮状病毒肠炎的临床疗效。方法将180例轮状病毒性肠炎患儿随机分成三组，实验组予山莨菪碱足三里（双侧）穴位注射治疗，对照1组予山莨菪碱条口（双侧）穴位注射治疗，对照2组予山莨菪碱臀部肌注治疗，各组均为60例。结果治疗后实验组总有效率为95．00％，止泻时间（3．05±0．62）d，住院时间（5．5±1．1）d；对照1组总有效率为83．33％，止泻时间（3．58±0.66）d，住院时间（6．5±1．6）d，对照2组总有效率为81．67％，止泻时间（3．60±0.65）d，住院时间（6．7±1．4）d，实验组与对照组比较总有效率、止泻时间及住院时间均有显著性差异，有统计学意义；对照1组与对照组2组比较总有效率、止泻时间及住院时间均无统计学显著性差异。结论（1）山莨菪碱足三里（双侧）穴位注射是治疗小儿轮状病毒肠炎有效的辅佐治疗方法，优于条口（双侧）穴位注射及臀部肌注。（2）山莨菪碱足三里穴位注射比其他穴位注射治疗小儿轮状病毒肠炎可能更具有特异性。Objective To explore the clinical effect of anisodamine point injection in Tsusali for the adjuvant treatment of rotavirus enteritis in children. Methods 180 cases of rotavirus enteritis were separated randomly into three groups （60 cases for each）. The experimental group received the anisodamine point injection in Tsusali or Tiaokou, while the first control group received the anisodamine point injection in Tiaokou and the second control group received gluteal intramuscular injection with anisodamine. Results 95.0% of the children in the Tsusali group released; .The average duration of diarrhea was （3.05 ± 0.62）days; and the hospitalization time was （5.5 ± 1.1 ）days. 83.33% in the Tiaokou group and 81.67% in the second control group released. The average duration of diarrhea in the control groups were （3.58± 0.66）days and （ 3.60 ± 0.65 ） days. The hospitalization time was （ 6.5 ±1.6） days and （6.7 ±1.4） days. The Tsusali group had more effect, less duration of diarrhea and cost less hospitalization time than the control groups. The difference was statistically significant （ P 〈 0.05 ）. There were no obvious difference between the the Tiaokou group and the gluteal group as to the clinical effect, the duration of diarrhea and hospitalization time. Conclusion Anisodamine point injection in Tsusali is an effective adjuvant treatment for rotavirus enteritis in children, which is better than the point injection in Tiaokou and the gluteal intramuscular injection. The point injection in Tsusali may have more particularity than the other points in the treatment of rotavirus enteritis in children.

关 键 词：穴位注射 足三里 条口 山莨菪碱 轮状病毒 肠炎 

分 类 号：R971.93[医药卫生—药品]