目的：探讨双歧三联活菌联合蒙脱石散治疗急性腹泻对患儿排便次数及症状改善的影响。方法选择2012年8月至2013年8月在我院接受治疗的急性腹泻患儿132例作为研究对象。根据随机数表法将患儿分成观察组和对照组各66例。对照组患儿给予蒙脱石散治疗，观察组在此基础上采用双歧三联活菌进行治疗。比较两组患儿治疗前后的腹泻排便次数、疗效以及症状改善情况。结果观察组患儿治疗后5d的腹泻排便次数明显少于对照组，差异有统计学意义(P<0.05)；观察组患儿的显效率和总有效率分别为65.15%，98.48%，均明显高于对照组的45.45%，86.36%，差异均有统计学意义(P<0.05)；观察组患儿的腹痛消失时间、呕吐消失时间、退热时间及大便常规的正常时间均少于对照组，差异均有显著统计学意义(P<0.01)。结论双歧三联活菌与蒙脱石散联合治疗小儿急性腹泻可明显减少患儿排便次数，改善其临床症状，疗效明显，值得临床上推广应用。%Objective To investigate the effect (stool frequency and symptoms) of branch bacilli triplex via-ble bacteria combined with montmorillonite powder in the treatment of children with acute diarrhea. Methods From August 2012 to August 2013, 132 children of acute diarrhea treated in our hospital were selected as research subjects, which were divided into the observation group and control group (each had 66 cases) according to random number table. Children in the control group were given montmorillonite powder for treatment, while those in the observation group were treated with branch bacilli triplex viable bacteria on the basis of the control group. The diarrhea stool fre-quency, the curative effect before and after treatment, and improvement of symptoms were compared between the two groups. Results After 5 days of treatment, the diarrhea stool frequency in the observation group was signifi-cantly less than that in the control group (P<0.05). The markedly effective rate and total effective rate of the observa-tion group was 65.15%, 98.48%, which were significantly higher than 45.45%, 86.36% in the control group (P<0.05). The disappear time of abdominal pain, vomiting, antifebrile time and defecate normal time in the observation group were significantly less than those in the control group, and the differences were statistically significant (all P<0.05). Conclusion In the treatment of acute diarrhea, branch bacilli triplex viable bacteria combined with montmoril-lonite powder can obviously reduce stool frequency, improve the clinical symptom, which is worthy of popularization and application in clinic.
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