首页|肠炎宁颗粒联合乳酸菌素分散片治疗腹泻型肠易激综合征患儿的效果

肠炎宁颗粒联合乳酸菌素分散片治疗腹泻型肠易激综合征患儿的效果

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目的:观察肠炎宁颗粒联合乳酸菌素分散片治疗腹泻型肠易激综合征患儿的效果.方法:选取 2021 年 2 月至 2023 年 2 月该院收治的 150 例腹泻型肠易激综合征患儿进行前瞻性研究,根据随机数字表法将其分为对照组和研究组各 75 例.对照组采用乳酸菌素分散片治疗,研究组在对照组基础上联合肠炎宁颗粒治疗.比较两组临床疗效,治疗前后中医证候积分、T细胞亚群(CD4+、CD8+、CD4+/CD8+)水平、胃肠激素指标(生长抑素、胃泌素、胃动素)水平,以及不良反应发生率.结果:研究组治疗总有效率为94.67%(71/75),高于对照组的 81.33%(61/75),差异有统计学意义(P<0.05);治疗后,两组腹泻、腹痛、泛恶、纳少等中医证候积分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);两组CD4+、CD4+/CD8+水平均高于治疗前,且研究组高于对照组,两组CD8+水平均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);两组生长抑素水平均高于治疗前,且研究组高于对照组,两组胃泌素、胃动素水平均低于治疗前,且研究组低于对照组,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:肠炎宁颗粒联合乳酸菌素分散片治疗腹泻型肠易激综合征患儿可提高治疗总有效率,改善T细胞亚群和胃肠激素指标水平,降低中医证候积分,其效果优于单纯乳酸菌素分散片治疗.
Effects of Changyanning granules combined with Lacidophilin dispersible tablets in treatment of diarrhea-predominant irritable bowel syndrome in children
Objective:To observe effects of Changyanning granules combined with Lacidophilin dispersible tablets in treatment of diarrhea-predominant irritable bowel syndrome in children.Methods:A prospective study was conducted on 150 children with diarrhea-predominant irritable bowel syndrome admitted to this hospital from February 2021 to February 2023.They were divided into control group and study group according to the random number table method,75 cases in each group.The control group was treated with Lacidophilin dispersible tablets,while the study group was treated with Changyanning granules on the basis of that of the control group.The clinical efficacy,the Traditional Chinese Medicine(TCM)syndrome scores before and after the treatment,the T cell subsets(CD4+,CD8+,CD4+/CD8+)levels,the gastrointestinal hormone indexes(somatostatin,gastrin,motilin)levels,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the study group was 94.67%(71/75),which was higher than 81.33%(61/75)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the scores of TCM syndromes such as diarrhea,abdominal pain,nausea and anorexia in the two groups were lower than those before the treatment,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the levels of CD4+ and CD4+/CD8+ in the two groups were higher than those before the treatment,and those in the study group were higher than those in the control group;the levels of CD8+ in the two groups were lower than those before the treatment,and that in the study group was lower than that in the control group;and the differences were statistically significant(P<0.05).After the treatment,the levels of somatostatin in the two groups were higher than those before the treatment,and that in the study group was higher than that in the control group;the levels of gastrin and motilin in the two groups were lower than those before the treatment,and those in the study group were lower than those in the control group;and the differences were 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:Changyanning granules combined with Lacidophilin dispersible tablets can improve the total effective rate of treatment,improve the levels of T cell subsets and gastrointestinal hormones,and reduce the scores of TCM syndromes in the children with diarrhea-predominant irritable bowel syndrome.Moreover,it is superior to single Lacidophilin dispersible tablets treatment.

Diarrhea-predominant irritable bowel syndromeChangyanning granulesLacidophilin dispersible tabletsTCM syndrome scoreT cell subsetGastrointestinal hormoneAdverse reaction

陈凯、张艳梅

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郑州市中医院药学部,河南 郑州 450007

腹泻型肠易激综合征 肠炎宁颗粒 乳酸菌素分散片 中医证候积分 T细胞亚群 胃肠激素 不良反应

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(5)
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