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Clinical Study On Jian Pi Zao Shi Xing Qi In The Treatment Of Young Child Non-infectious Diarrhea Of Pi Xu Shi Kun

Posted on:2009-01-15Degree:MasterType:Thesis
Country:ChinaCandidate:Y Q LinFull Text:PDF
GTID:2144360245450328Subject:Chinese medicine
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Background:The diarrhea is one of the common diseases in babies and infants.In our country it is the second one.While in the third world it is the first frequently-occurring disease and the cause of death.The diarrhea may cause formerly by the infection factor,in recent years along with the living standard and the hygienic condition improvement,the non-infectious diarrhea has aroused the department of pediatrics medical arena interest increasingly.The non-infectious diarrhea is refers to the bowel movement number of times which causes by the non-infection factor to increase with the character change.It has not the very explicit unified diagnosis standard to the young child non-infectious diarrhea,yet.The diagnosis first should remove the infectious diarrhea first.It might act according to the morbidity age,the sex,the symptom and the symptom,unified the laboratory excrement and the serum test,the stomach duodenum,the jejunum fluid inspection,the stomach and intestines evacuation velocity determination,x inspection,If necessary it might make in the stomach and intestines the mirror inspection biopsy,or the abdomen,the magnetic resonance and so on the special inspection.The reasonable utilization above inspection and the synthetic judgment inspection result will be helpful to the non-infectious diarrhea cause of disease diagnosis and the distinction diagnosis.Regarding infectious diarrhea,medical doctor take anti-infection as treatment key.However,regarding non-infectious diarrhea,not only antibiotic has non-treatment function,but also possibly causes the neficial bacteria which parasitize in intestinal tract to be reduction.And then,the patient's condition aggravate.But the Chinese medicine treatment does not have this worry.The young child diarrhea in the Chinese medicine should be "XieXie".Although the treatment of Chinese medicine does not have division between the infection and the non-infection,but it has obvious superiority in treating the young child non-infectious diarrhea.Teacher has use the Chinese medicine to treat non-infectious diarrhea for many years.She has accumulated many experiences,that built the foundation for this research design and the implementation.Goal:This research takes Jian Pi Zao Shi Xing Qi such as Jia Jian Er Chen Tang to treat the young child non-infectious diarrhea,and holds the Smectite Powder witch is western medicine to make the comparison.After comparing its anteroposterior physical sign,symptom and the laboratory index of treatment,the research explores the superiority about Chinese medicine,whether it is good for curing the young child non-infectious diarrhea.So as to seek the more effective method of Chinese medicine to treat a young child non-infectious diarrhea,and provide a new way of treatment for the Chinese medicine to treat this sickness.Method:This topic is the forward-looking research.It stochastically takes the 50 young children who is Pi Xu Shi Kun and in non-infectious diarrhea trouble,into the treatment group or the control group.Every group has 25 children.Two groups would be given foundational therapy such as food control and fluid infusion.And its acid-base equilibrium would be corrected in need.The treatment group gives "Jia Jian Er Chen Tang",the control group gives the Smectite Powder.Then observes the anteroposterior symptom,physical sign,the clinical symptom integral,and the laboratory index of treatment.The data processing uses the SPSS12.0 software package.The counting material uses the chi-square test and the measurement material uses the T-test.Finally:1.Comparying two group of curative effect:(1)In treatment group 25 children,there are 6 children in utility,10 children in excellence,8 children in recovery.Its total effectiveness is 96%.In the control group there are 15 children in utility,5 children in excellence,3 children in recovery.Its total effectiveness is 92%.Comparying the clinical curative effect in two groups,P=0.008<0.05,has statistics significance. Comparying the total effectiveness,P=0.916>0.05,has non-statistics significance.(2)Comparying the time that bowel movement times alleviates in two group, P=0.031<0.05,has statistics significance.(3)Comparying the score after treatment:in vomit,diet,thirsty,distension of the abdomen,facial color,spiritual,P<0.05,has statistics significance; In bowel movement times,excrement character,P>0.05,non-statistics significance. 2.Comparying the score that before and after treatment in Jia Jian Er Chen Tang group:children in bowel movement times,excrement character,vomit,diet, thirsty,distension of the abdomen,facial color,spiritual all P<0.05,has statistics significance.3.The medicine untoward effects,The Smectite group had 2 young babies who appear chokes or vomits milk when took medicine,and I baby had the constipation after treatment.While the Jia Jian Er Chen Tang group had not obviously untoward.4.Comparying the bowel pH before and after treatment in two groups,P=0.000<0.05,has statistics significance.Conclusion:1.Jian Pi Zao Shi Xing Qi as Jia Jian Er Chen Tang is good for the non-infectious diarrhea.2.Jian Pi Zao Shi Xing Qi is good for treating the PiXuShiKun symptoms,and it is better than the Smectite.It can improve the modulation ability of young child,improve the health,enhance the level of curative effect.And the curative effect is better than the Smectite3.The group of Jia Jian Er Chen Tang had not obvious side effect and the untoward reaction rate is low.It showed that Jia Jian Er Chen Tang is safe and feasible to treat the young child non-infectious diarrhea.4.This research took the bowel pH to diagnosticate the non-infectious diarrhea and judge the curative effect for the first time.It confirmed that the bowel pH is helpful.
Keywords/Search Tags:Young Child Non-Infectious Diarrhea, Jian Pi Zao Shi Xing Qi, Jia Jian Er Chen Tang, Smectite
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