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[目的]观察秋泻灵合剂联合灌肠、药物敷贴及护理干预小儿秋季腹泻疗效。[方法]使用前瞻性设计方法,将125例住院患者使用秋泻灵合剂(杜仲炭、大腹皮、滑石、黄芩、葛根各15g,佛手、藿香、佩兰、甘草、五味子各10g,桂枝7g,黄连5g),1剂/d,6~12月10mL/次,>12个月15mL/次,>24个月20mL/次,>36个月30mL/次,2次/d,间隔时间>8h。灌肠:抽取适量秋泻灵合剂,连接头皮针,石蜡棉对肛周及头皮针润滑,头皮针插入肛门缓慢推入,30min/次,1次/d。药物敷贴(茴香3g,延胡索5g,吴茱萸、丁香各3g,肉桂5g),磨粉,温水调膏敷肚脐,2~4h/次,2次/d。合理搭配饮食,严密观察患儿生命体征变化。护理干预(一般护理、健康指导、饮食护理、药物护理、便后护理)。连续治疗5d为1疗程。观测临床症状、大便性状、不良反应。连续治疗3疗程,判定疗效。[结果]痊愈109例,有效12例,无效4例,总有效率为96.80%。[结论]秋泻灵合剂联合灌肠、药物敷贴及护理干预小儿秋季腹泻效果显著,值得推广。
[Objective] To observe the curative effect of Qiu Xie Ling Mixture combined with enema, drug application and nursing intervention on pediatric autumn diarrhea. [Methods] A total of 125 hospitalized patients were treated with Qiu Xie Ling Mixture (Eucommia ulmoides Charcot, Ophiopogon japonicus, talc, Scutellaria baicalensis, 15g each of Radix Puerariae, Bergamot, Agastache Perilla, Glycyrrhizin, Fructus Schisandrae, 7g, Coptis 5g), 1 / d, 6 ~ December 10mL / time,> 12 months 15mL / time,> 24 months 20mL / time,> 36 months 30mL / time, > 8h. Enema: Extract Qiu Xie Ling mixture, connect the scalp needles, paraffin cotton on the perianal and scalp needles lubrication, scalp needle into the anus slowly push, 30min / times, 1 time / d. Drug dressing (fennel 3g, corydalis 5g, Evodia, clove each 3g, cinnamon 5g), flour, warm water transfer cream navel, 2 ~ 4h / time, 2 times / d. Reasonable with diet, close observation of changes in children’s vital signs. Nursing interventions (General Nursing, Health Guidance, Dietary Nursing, Medical Care, Post-Nursing). Continuous treatment of 5d for a course of treatment. Observed clinical symptoms, stool traits, adverse reactions. Continuous treatment of 3 courses to determine the efficacy. [Results] 109 cases were cured, 12 cases were effective and 4 cases were ineffective. The total effective rate was 96.80%. [Conclusion] Qiu Xie Ling mixture combined enema, drug application and nursing intervention in children with significant effect of autumn diarrhea, it is worth promoting.