摘要
Objective To observe the therapeutic efficacy of pricking needling at Sifeng （四缝 EX-UE10） in combination with Tuina in treating antibiotic-associated diarrhea （AAD） in infants. Methods According to random number table, 82 patients were randomized into a treatment group and a control group, 41 patients were included in each group. The patients in the two groups were not subjected to fasting diet; fluid replacement, correction on electrolyte disturbance, withdrawal of antibiotics and other symptomatic treatments were all carried out for them. The patients in the treatment group were simultaneously treated by using pricking needling at EX-UE 10 in combination with Tuina manipulation, while the patients in the control group were orally administered with Medilac Vita. Five days were considered as a treatment course for both groups, and the therapeutic effect was evaluated after a treatment course. Results the number of patients with concurrent symptoms in the treatment group were significantly less than that in the control group （P0.05）; the number of patients not showing leucopenia in the treatment group were significantly less than that in the control group （P0.05）; the total effective rate of 92.7% （38/41） in the treatment group was significantly higher than that of 73.2% （30/41） in the control group, and the difference in therapeutic effect between the two groups was statistically significant （P0.05）. Conclusion The therapeutic effect of pricking needling at EX-UE 10 in combination with Tuina on the basis of conventional treatments is better than that of combination with Medilac Vita in treating AAD in infants, and it could rapidly improve systemic symptoms and indices of stool.
目的:观察点刺四缝穴配合推拿治疗小儿抗生素相关性腹泻的疗效。方法:将82例患者随机分为治疗组和对照组,每组41例。两组患者均未禁食,均给予补液、纠正电解质紊乱、停用抗生素及对症处理。治疗组同时采用点刺四缝配合小儿推拿疗法,对照组同时采用妈咪爱口服。两组均以治疗5d为一疗程,治疗1个疗程后评定疗效。结果:治疗后,治疗组总有效率92.7%(38/41)明显优于对照组总有效率73.2%(30/41),两组疗效比较差异有统计学意义(P<0.05),且治疗组中白细胞未减少者明显少于对照组(P<0.05)。结论:在常规治疗的基础上,加用点刺四缝配合推拿治疗小儿抗生素相关性腹泻疗效优于加用妈咪爱,能更快地改善全身症状和明显减少大便中白细胞数目。
