ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2020, Vol. 12 ›› Issue (2): 167-169.doi: 10.3969/j.issn.1674-3865.2020.02.021

• 临床研究 • 上一篇    下一篇

八味白术汤联合三香散外敷治疗小儿脾虚泄泻临床观察

秦玉   

  1. 224000 江苏 盐城，南京中医药大学附属盐城市中医院儿科，国家级名老中医李乃庚传承工作室
  • 出版日期:2020-04-25 发布日期:2021-05-17
  • 作者简介:秦玉（1981-），女，副主任医师。研究方向：小儿呼吸系统、消化系统疾病的诊治，E-mail:bill_bush@126.com
  • 基金资助:
    2016年盐城市医学科技发展计划项目（YK2016037）

Clinical observation of Bawei Baizhu decoction combined with Sanxiang powder for external application in the treatment of infantile diarrhea of spleen deficiency

  • Online:2020-04-25 Published:2021-05-17

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摘要： 目的 观察八味白术汤合三香散外敷治疗小儿脾虚泄泻的临床疗效。
方法 选择2018年1月至2019年1月盐城市中医院儿科门诊收治脾虚证泄泻患儿150例，按随机、平行对照原则分为观察组90例和对照组60例。观察组采用八味白术汤口服、三香散外敷腹部治疗，对照组采用蒙脱石混悬液、双歧杆菌四联活菌片口服治疗。7 d为1个疗程。1个疗程后对两组进行疗效评价，并观察治愈病例腹泻停止时间和平均每日腹泻次数。
结果 观察组临床总有效率为76.7%（69/90），显著高于对照组55.0%（33/60），差异有统计学意义（P<0.05）。观察组治愈病例腹泻停止时间和平均每日大便次数均低于对照组差异有统计学意义（P<0.05）。
结论 八味白术汤合三香散外敷治疗小儿脾虚泄泻疗效确切，优于西药对照组。

关键词: 脾虚泄泻, 八味白术汤, 三香散, 中医药治疗, 儿童

Abstract:

Objective To observe the clinical effect of Bawei Baizhu decoction combined with Sanxiang powder for external application in the treatment of children with diarrhea of spleen deficiency.
Methods Totally 150 children with diarrhea of spleen deficiency treated in Yancheng TCM Hospital from Jan. 2018 to Jan. 2019 were chosen and divided into two groups by random and parallel control method: 90 in the observation group and 60 in the control group. The observation group was given Bawei Baizhu decoction for taking orally and Sanxiang powder for external application to the abdomen. The control group took Smectite suspension and Bifidobacterium quadruple tablet orally. The treatment lasted for 7 days as a course. After one course of treatment, the clinical effect in the two groups was assessed, and the time for diarrhea to stop in cured cases and the average frequency of diarrhea each day were observed.
Results The clinical total effective rate was 76.7% (69/90) in the observation group, which was significantly higher than that in the control group (55.0%, 33/60), and there was statistical difference (P<0.05). The time for diarrhea to stop in cured cases and the average frequency of bowel movement each day were lower in the observation group than in the control group (P<0.05).
Conclusion Bawei Baizhu decoction combined with Sanxiang powder for external application has good effect in the treatment of children with diarrhea of spleen deficiency, and it is better than western medicine.

Key words: Diarrhea of spleen deficiency, Bawei Baizhu decoction, Sanxiang powder, TCM treatment, Child