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我们采用米雅和思密达治疗56例小儿腹泻患者,取得了良好的效果,现报道如下:1 资料与方法1.1 一般资料:本组患儿3岁以下,有不同程度发热、呕吐、食欲减退、脱水等.每天大便4次以上,粪便呈水样,蛋花样或稀糊状,无粘液及脓血.大便常规检查WBC≤10个/HP,脂肪球十～+++,无红细胞、脓球及吞噬细胞.1.2 治疗方法:分对照组和治疗组,对照组50例,选用羟氨苄青霉素,口服或静滴,按50～100 mg/kg·日,每天分2～3次.治疗组56例口服小儿米雅(日本国米雅利桑株式会社生产,0.5亿活菌/包)及思密达,小儿米雅用法为<1岁,每次1/2包,l～3岁每次1包,每天3次.思密达<1岁,每次1 g,1～2岁每次1.5 g,2～3岁每次2 g,每天3次.2组病例根据脱水程度,给予口服补液或者静脉补液,不禁食.1.3 疗效判断标准:按第二届全国小儿腹泻会议制定标准,显效:治疗后24～48小时腹泻减至≤2次/天或恢复正常,大便性状恢复正常,临床症状完全消失.有效:治疗后48～72小时,腹泻减至≤2次/天,大便性状好转,临床症状基本消失,
We use Mia and Smectite treatment of 56 cases of children with diarrhea and achieved good results, are reported as follows: 1 Materials and Methods 1.1 General Information: The group of children under 3 years of age, with varying degrees of fever, vomiting, loss of appetite , Dehydration, etc .. More than 4 times a day stool, stool was watery, egg-like or thin paste, no mucus and pus and blood stool routine examination WBC ≤ 10 / HP, fat ball ten ~ +++, no red blood cells, pus Ball and phagocyte.1.2 Treatment: divided into control group and treatment group, control group of 50 patients, the choice of amoxicillin, oral or intravenous drip, according to 50 ~ 100 mg / kg · day, 2 to 3 times a day.The treatment group 56 cases of oral infantile Miya (Japan Miyazaki mulberry Co., Ltd. production, 0.5 million viable / package) and Smecta, Miya pediatric usage is <1 year old, each 1/2 package, l ~ 3 years old each time 1 Package, 3 times a day.Smecta <1 year old, each 1 g, 1 to 2 years old each 1.5 g, 2 to 3 years old each 2 g, 3 times a day .2 cases according to the degree of dehydration, given oral rehydration Or intravenous rehydration, not fasting.1.3 Therapeutic criteria: According to the second session of the National Conference on Pediatric Diarrhea, markedly effective: 24 to 48 hours after treatment, diarrhea reduced to ≤ 2 times / day or returned to normal, stool To normal, the clinical symptoms disappeared completely effective: 48 to 72 hours after treatment, reduced diarrhea ≤2 times / day, stool improved clinical symptoms disappeared,