首页|醒脾养儿颗粒联合益生菌治疗小儿腹泻的疗效及对患儿胃肠激素水平的影响

醒脾养儿颗粒联合益生菌治疗小儿腹泻的疗效及对患儿胃肠激素水平的影响

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[目的]探讨醒脾养儿颗粒联合益生菌治疗小儿腹泻的疗效.[方法]本院收治的 120 例腹泻患儿,随机分为两组,对照组采用益生菌治疗,观察组在对照组基础上联合醒脾养儿颗粒治疗.比较两组治疗前后胃肠激素水平、血清炎症因子水平、临床指标改善情况、电解质水平、临床疗效及不良反应.[结果]治疗前,两组患儿各项指标水平比较,差异均无统计学意义(P>0.05).治疗后,两组生长抑素水平高于治疗前(P<0.05),胃动素、胃泌素水平低于治疗前(P<0.05),且观察组各项指标水平优于对照组(P<0.05);治疗后,两组患儿白介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、高敏C反应蛋白(hs-CRP)均低于治疗前(P<0.05),且观察组各指标水平均低于对照组(P<0.05);观察组腹泻、脱水、食欲改善时间均短于对照组(P<0.05);治疗后,两组 Na+、Cl-水平均高于治疗前(P<0.05),且观察组各指标水平高于对照组(P<0.05);观察组治疗总有效率高于对照组(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]醒脾养儿颗粒联合益生菌治疗小儿腹泻能够有效调节患儿胃肠激素,降低血清炎症因子水平,提高临床疗效,且安全性较高.
The Therapeutic Effect of Xingpi Yanger Granules Combined with Probiotics on Infantile Diarrhea and its Impact on Gastrointestinal Hormone Levels
[Objective]To investigate the therapeutic effect of Xingpi Yanger Granules combined with probiotics on infantile diarrhea.[Methods]A total of 120 cases of diarrhea in our hospital were randomly divided into two groups.The control group was treated with probiotics,and the observation group was treated with Xingpi Yanger Granules on the ba-sis of the control group.The levels of gastrointestinal hormones,serum inflammatory factors,clinical indicators,electro-lyte levels,clinical efficacy,and adverse reactions were compared between the two groups before and after treatment.[Re-sults]There were no significant differences in the levels of all indicators between the two groups before treatment(P>0.05).After treatment,the levels of growth hormone in both groups were higher than before treatment(P<0.05),while the levels of motilin and gastrin in both groups were lower than before treatment(P<0.05),and the levels of all indica-tors in the observation group were better than those in the control group(P<0.05).The levels of interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),and high-sensitivity C-reactive protein(hs-CRP)in both groups were lower than before treatment(P<0.05),and the levels of all indicators in the observation group were lower than those in the control group(P<0.05).The time for diarrhea,dehydration,and appetite improvement in the observation group was shorter than that in the control group(P<0.05).After treatment,the levels of Na+ and Cl-in both groups were higher than before treatment(P<0.05),and the levels of all indicators in the observation group were higher than those in the control group(P<0.05).The total effective rate in the observation group was higher than that in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).[Conclusion]Xingpi Yanger Granules combined with probiotics can effectively regulate gastrointestinal hormones,reduce serum inflammatory factors levels,improve clinical efficacy,and have higher safety in treating infantile diarrhea.

Diarrhea/DTLactobacillus RhamnosusGastrointestinal HormonesTreatment Outcome

谢宇飞、杨丽萍、唐利芳

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复旦大学附属中山医院青浦分院儿科,上海 201700

腹泻/药物疗法 鼠李糖乳杆菌 胃肠激素类 治疗结果

2024

医学临床研究
湖南省医学会

医学临床研究

影响因子:0.595
ISSN:1671-7171
年,卷(期):2024.41(3)
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