摘要
受检对象486例均为1岁半以内腹泻婴幼儿,采用新鲜粪便pH值、醋酸铅法、层析法检测,小儿乳糖不耐受症(LI)诊断标准为:pH<6,醋酸铅法(++),层析法(+)。对其中148例LI的患儿分3组治疗观察,Ⅰ组为常规西药治疗,Ⅱ组为常规西药及去乳糖饮食疗法,Ⅲ组为中药治疗,并根据急性(湿热)和慢性、迁延性(脾虚)各给予止泻Ⅰ号、止泻Ⅱ号,急性腹泻观察5天,慢性、迁延性腹泻观察10天。结果486例婴儿腹泻中LI发病率为54.73％,其中慢性、迁延性腹泻发病率为72.73％;对急性腹泻LI,各组疗效差异无显著性(P>0.05);对慢性、迁延性者,则Ⅱ、Ⅲ组疗效优于Ⅰ组(P<0.05);去乳糖饮食疗法对急、慢性、迁延性腹泻LI有较好疗效,慢性、迁延性腹泻LI应用中药治疗能迅速缓解吐泻、腹胀,疗效显著。
The subjects were 486 cases aged all under 1. 5 -year -old. Their fresh stool were observed closely by pH value, lead acetate (la) method and chromatography. Standards for lactose intolerant (LI) included pH < 6, la 2 +,
chromatography +. 148 cases were assigned to 3 groups. Group I was treated with regular western drug: group II. regular western drug plus delactose diet; group III, traditional Chinese remedies with Zhixie I, Zhixie II administered to acme (damp - heat), chronic (persisting) types, and observed for 5 and 10 days respectively. Results showed that the incidence of LI in 486 cases infantile diarrhea was 54. 73%, of them, the incidence of chronic type being 72. 73%. For acute diarrhea LI. there was no significant difference among its group (P>0. 05). While for the chronic group, the effects in II, III were superior to I (all P<0. 05). Delactose diet yielded good effect for both types of LI. For chronic persisting LI. traditional Chinese remedies can rapidly ameliorate vomiting, diarrhea and abdominal distention with satisfactory effect.
出处
《中医杂志》
CSCD
北大核心
2000年第3期161-163,共3页
Journal of Traditional Chinese Medicine
关键词
婴儿腹泻
中医药治疗
乳糖不耐受症
diarrhea, infantile/TCM therapy @ intolerante to lactose
