不同治疗方案对小儿乳糖吸收不良引起的肠痉挛的改善效果研究  

Study on improvement effects of different treatment protocols on intestinal spasm caused by lactose malabsorption in children

作　　者：袁玉 YUAN Yu(Jiamusi Maternal and Child Health Hospital,Jiamusi 154000 Heilongjiang,China)

机构地区：[1]佳木斯市妇幼保健院,黑龙江佳木斯154000

出　　处：《中国民康医学》2023年第4期132-134,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察厚朴温中汤联合常规西医治疗肠痉挛患儿的效果。方法:选取2019年1月至2021年1月该院收治的92例肠痉挛患儿进行前瞻性研究,按照随机数字表法分为观察组与对照组各46例。对照组采用常规西医治疗,观察组在对照组基础上采用厚朴温中汤治疗,比较两组治疗总有效率、胃肠功能指标恢复时间(肠鸣音恢复时间、肛门排气时间和自主排便时间)、住院时间、复发率和不良反应发生率。结果:观察组治疗总有效率为97.83%,明显高于对照组的82.61%,差异有统计学意义(P<0.05);观察组肠鸣音恢复时间、肛门排气时间、自主排便时间和住院时间均短于对照组,差异有统计学意义(P<0.05);观察组出院后6个月复发率为4.35%,明显低于对照组的17.39%,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:厚朴温中汤联合常规西医治疗肠痉挛患儿可提高治疗总有效率,缩短胃肠功能指标恢复时间和住院时间,以及降低复发率,效果优于单纯常规西医治疗。Objective: To observe effects of Houpu Wenzhong decoction combined with conventional western medicine in treatment of children with intestinal spasm. Methods: A prospective study was conducted on 92 children with intestinal spasm admitted to the hospital from January 2019 to January 2021. They were divided into observation group and control group according to the random number table method, 46 cases in each. The control group was treated with conventional western medicine, while the observation group was treated with Houpu Wenzhong decoction on the basis of that of the control group. The total effective rate, the recovery time of gastrointestinal function indexes(bowel sound recovery time,anal exhaust time and voluntary defecation time), the hospitalization time, the recurrence rate, and the incidence of adverse reactions were compared between the two groups. Results: The total effective rate of treatment in the observation group was 97.83%, which was significantly higher than 82.61% in the control group, and the difference was statistically significant(P<0.05). The bowel sound recovery time, the anal exhaust time, the voluntary defecation time and the hospitalization time in the observation group were shorter than those in the control group, and the differences were statistically significant(P<0.05). The recurrence rate 6 months after discharge in the observation group was 4.35%, which was significantly lower than 17.39% in the control group, the difference was statistically significant(P<0.05). However, there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05). Conclusions: Houpu Wenzhong decoction combined with conventional western medicine can improve the total effective rate of treatment, shorten the recovery time of gastrointestinal function indexes and the hospitalization time, and reduce the recurrence rate. Moreover, it is superior to single conventional western medicine treatment.

关 键 词：厚朴温中汤 肠痉挛 患儿 肠鸣音恢复时间 肛门排气 自主排便 复发率 

分 类 号：R72[医药卫生—儿科]