捏脊摩腹联合藿香散敷脐治疗小儿细菌性肠炎50例临床观察  

Clinical observation on 50 cases of bacterial enteritis in children treated by spine pinching and rubbing abdomen combined with Huoxiang San(藿香散) application on navel

作　　者：李娇[1] 罗光亮 黄文娴[1] 张俊绮 LI Jiao;LUO Guangliang;HUANG Wenxian;ZHANG Junqi(Department of TCM Pediatrics,Shenzhen Hospital of Guangzhou University of Chinese Medicine,Shenzhen,Guangdong,518000)

机构地区：[1]广州中医药大学深圳医院中医儿科

出　　处：《中医儿科杂志》2019年第6期95-98,共4页Journal of Pediatrics of Traditional Chinese Medicine

摘　　要：目的观察捏脊摩腹联合藿香散敷脐治疗小儿细菌性肠炎的临床疗效。方法选取2018年1-7月广州中医药大学深圳医院中医儿科收治的细菌性肠炎患儿100例,随机分为治疗组和对照组,各50例。对照组在对症处理、口服补液治疗的基础上予头孢克肟干混悬剂口服,治疗组在对照组治疗方法的基础上予捏脊、摩腹联合藿香散敷脐治疗,2组连续治疗3 d后,统计治疗前后的大便次数,C-反应蛋白(CRP)、血沉(ESR)、降钙素原(PCT)水平,住院时间和临床疗效。结果治疗后,2组的大便次数与同组治疗前比较明显减少,且治疗组减少更显著,差异均有统计学意义(P<0.05);治疗组住院时间也明显短于对照组(P<0.05)。治疗后,2组的CRP、ESR、PCT水平均明显下降,与同组治疗前比较,差异有统计学意义(P<0.05),且治疗组ESR下降更显著(P<0.05)。对照组总有效率为80.0%,治疗组为94.0%,2组比较,差异有统计学意义(P<0.05)。结论捏脊摩腹联合藿香散敷脐治疗小儿细菌性肠炎疗效显著,不但缩短了病程及住院时间,而且使用方便,小儿易于接受,值得临床推广应用。Objective To observe the clinical efficacy of spine pinching and rubbing abdomen combined with Huoxiang San(藿香散)application on navel in the treatment of bacterial enteritis in children.Methods Totally 100 cases of bacterial enteritis in children admitted to department of TCM pediatrics in Shenzhen Hospital of Guangzhou University of Chinese Medicine from January to July in 2018 were randomly divided into treatment group and control group,with 50 cases in each.The control group was given cefixime for suspension on the basis of symptomatic treatment and oral fluid replacement,while the treatment group was given spine pinching and rubbing abdomen combined with Huoxiang San application on navel on the basis of the treatment of the control group.After consecutive treatment for 3 days,we kept statistics about the defecation frequency,the levels of C-reactive protein(CRP),erythrocyte sedimentation rate(ESR)and procalcitonin(PCT),length of stay and clinical efficacy of the two groups.Results After treatment,the defecation frequency of the two groups significantly decreased compared with the same group before treatment,moreover,the treatment group decreased more significantly,and the difference was statistically significant(P<0.05).Length of stay in the treatment group was significantly shorter than that in the control group(P<0.05).After treatment,the levels of CRP,ESR and PCT in the two groups all significantly decreased,and the difference was statistically significant compared with the same group before treatment(P<0.05),moreover,ESR in the treatment group decreased more significantly(P<0.05).The total effective rate of the control group was 80.0%,that of the treatment group was 94.0%,and the difference was statistically significant between the two groups(P<0.05).Conclusion It has significant clinical efficacy to use spine pinching and rubbing abdomen combined with Huoxiang San application on navel in the treatment of bacterial enteritis in children.Not only does it shorten the course of disease and length of sta

关 键 词：细菌性肠炎 小儿 捏脊 摩腹 敷脐 藿香散 临床观察 

分 类 号：R256.34[医药卫生—中医内科学]