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The Granules Of Zhishidaozhi Decoction Clinical Treatment Of Mesenteric Lymphadenitis In Children

Posted on:2012-04-11Degree:MasterType:Thesis
Country:ChinaCandidate:J Q ZhangFull Text:PDF
GTID:2154330335467725Subject:Chinese Academy of Pediatrics
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ObjectiveThe subject of treatment by observing the Chinese medicine decoction the granules of Zhishidaozhi decoction of Chinese medicine clinical effect of mesenteric lymphadenitis in children, to mesenteric lymphadenitis in children Etiology and Pathogenesis of TCM. Analysis the mechanism of the granules of Zhishidaozhi decoction. Explore Chinese medicine treatment of mesenteric lymphadenitis in children and effective herbs.MethodsThe purpose of this study were collected from the Shenzhen futian district TCM Hospital clinic and hospitalization a total of 50 cases of mesenteric lymphadenitis in children eligible cases. They were randomly divided into study group and control group 25cases each, control group with no treatment; Treatment group to oral the granules of Zhishidaozhi decoction. Treatment for 7 days. Before and after treatment observed the changes of clinical symptoms and signs in children, record the time and extent of symptom improvement, and build the database. Using SPSS13.0 statistical software. According to calculation before and after treatment. Analysising there hadstatistical significance or not.ResultsThe results showed that the granules of Zhishidaozhi decoction can effective mitigation and elimination of mesenteric lymphadenitis in children caused by abdominal pain, vomiting and other symptoms. Review color Doppler ultrasound showed enlarged mesenteric lymph nodes to reduce or decrease. In alleviating the degree of abdominal pain, shorten the course, reduce the relapse rate and so have the advantage, And few side effects. To demonstrate the granules of Zhishidaozhi decoction that principles for the group side is heat dampness digestion have a good effect in mesenteric lymphadenitis in children. Infection evils and sputum food stagnation are the main pathogenesis of this disease.ConclusionsWestern medicine on the etiology of this disease is not fully clear. Because of this disease in patients with acute upper respiratory tract infection complicated or after secondary to intestinal inflammation. So consider the existence of infections. Recent studies have shown the disease mostly associated with viral infections. Current common virus are Echovirus, Coxsackie virus and other enteroviruses. In rare cases caused by bacterial infection. Hemolytic streptococcus bacteria in common, Staphylococcus aureus followed by, Salmonella cause gastroenteritis can caused the disease. In recent years, some scholars believe that the disease is related with Mycoplasma pneumoniae infection. Infection factors of the disease to be further identified. And the mesenteric lymphadenitis in children than in adults the incidence of high, considering the main reasons are:Children than in adults during, the relatively long intestine, vascular wall rich in child, muscle weakness, neurological regulatory function ofinstability. Likely to cause gastrointestinal dysfunction. Leading to intestinal secretion absorption, motility dysfunction. The small intestine contents often because of the role of the ileocecal valve, Stay in the terminal ileum, Product of intestinal bacteria and viruses in the area easily absorbed into the lymph nodes of ileocecal. Peripheral lymphoid organs of the lymph nodes is an important part of, Children's immune system is active, have strong immune function, as these factors, it is more likely in children than in adults have mesenteric lymphadenitis. Because of Western medicine in the treatment of the cause is not clear. Therefore, the lack of targeted and effective treatment, Mainly anti-infective treatment and spasm and pain relief, rehydration and other symptomatic therapy. Clinical efficacy is not satisfactory, and more easy to relapse, and more anti-infective treatment side effects.Chinese believe that the disease is abdominal pain, delicate and fragile organs, the body structure and qi energy and blood are not mature enough and relatively insufficient, vulnerable to exogenous evils invasion, dysfunction of spleen and stomach, and children can not control their food intake, so moisture within the stop, poly wet phlegm, lead to air stagnation. Spleen territory, like dry and evil do not wet, for the use of six internal organs in order to pass, meridians to flow smooth, Air-congestion, meridians disorders, Bowel gas barrier, not General pain. The disease is located in the spleen and gastrointestinal.This study used the granules of Zhishidaozhi decoction to treat Mesenteric lymphadenitis in children. The total effective rate in treatment group than the control group, Relieve abdominal pain, vomiting, constipation symptoms, tongue and appetite to improve the situation, and so shorten the course of the treatment group than the control group. As used the granules the decoction of the concentration of stable, reduce errors make the clinical results are more reliable, Simple, easy to oral, economic and easy to improve adherence to treatment can be widely used in clinical practice.
Keywords/Search Tags:Mesenteric lymphadenitis in children, Chinese medicine treatment, effective observation
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