微生态制剂联合蒙石脱散治疗小儿腹泻疗效观察.doc

微生态制剂联合蒙石脱散治疗小儿腹泻疗效观察 张锋 ，刘毓玲2 (1.武汉市中医医院，武汉市中医药研究所国家中管局中药制剂三级实验室，湖北武汉 430014；2.华润武钢总医院，湖北武汉 430080） The Curative Effect of Micro-ecological Preparations Combined with Montmorillonite Power for Diarrhea in Children Zhang Feng1, Liu Yuling2 (1. Wuhan Hospital of Traditional Chinese Medicine, Wuhan Research Institute of Traditional Chinese Medicine, State Administration of Traditional Chinese Medicine Level 3 Laboratory of Traditional Chinese Medicine, Hubei Wuhan 430014;2.Huarun Wugang Hospital, Hubei Wuhan 430080) [Abstract] Objective To observation the curative effect of Micro-ecological Preparations for Diarrhea in Children. Methods 153 cases of children with diarrhea were randomly divided into the treatment group (G1), the observation group (G2), and another obseravation group (G3). The treatment group (G1) of 51 cases was treated with Montmorillonite Power only. The observation group (G2) of 53 cases was treated with Montmorillonite Power and Bifidobacterium Tetravaccine Tablets. The observation group (G3) of 49 cases was treated with Montmorillonite Power and Bifidobacterium Lactobacillus Tablets. Result The effect of two observation groups is superior to the treatment group. Conclusion Micro-ecological Preparations Combined with Montmorillonite Power has good effect for Diarrhea in Children [Key words] diarrhea in children; Micro-ecological Preparations; Montmorillonite Power 摘要 目的：观察微生态制剂对小儿腹泻的治疗效果。方法：选取153例腹泻患儿，按照随机分组方式分为治疗组G1和观察组G2，观察组G3。 治疗组G1组51例腹泻患儿从治疗开始，用蒙脱石散进行治疗，观察组G2组53例腹泻患儿除采用G1组治疗方式外，同时还使用双歧杆菌四联活菌片进行治疗，观察组G3组49例腹泻患儿除采用G1组治疗方式外，同时还使用双歧杆菌乳杆菌三联活菌片进行治疗。临床观察对比三组腹泻患儿的治疗效果。结果：G2和G3组治疗效果明显优于G1组。结论：联合使用微生态制剂在治疗小儿腹泻方面临床效果好，值得推广。 关键词：4 次/d，均呈黄绿色水样或带黏液稀糊样便，粪便培养均阴性，部分患儿同时伴有发热、呕吐、轻度脱水症状。 1.2 治疗方法 对于呕吐脱水者给予适当补液、维持水电解质和酸碱平衡，治疗中不使用止泻剂、抗生素治疗。治疗组G1组患儿给予蒙脱石散（商品名：思密达，博福-益普生天津制药有限公司生产，规格：3克/袋，国药准字口服治疗，1~2岁，1袋/日，2岁以上，2袋/日，均分三次服用。观察组G2组患儿在此基础上接受微生态制剂双岐杆菌四联活菌片（商品名：思连康，杭州龙达新科生物制药有限公司生产，规格：0.5 g/片，其中每片含婴儿双歧杆菌、嗜酸乳杆菌、粪肠球菌分别应不低于0.5×106CFU，蜡样芽胞杆菌应不低于0.5×105CFU，国药准字S2006