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目的:探讨蒙脱石散灌肠联合枯草杆菌二联活菌颗粒在小儿腹泻护理中的应用效果。方法:选取2015年7月至11月清远市妇幼保健院儿科收治的100例腹泻患儿作为研究对象,采用随机数字分组法将其分为对照组与观察组,各50例。对照组予以常规治疗及基础护理;观察组在对照组基础上,予以蒙脱石散灌肠联合枯草杆菌二联活菌颗粒治疗。比较两组患儿临床疗效、肠道菌群变化及临床症状恢复情况。结果:(1)入院时,两组患儿的肠道菌落分布比较,差异无统计学意义(P>0.05);干预后,观察组患儿的菌落分布变化明显优于对照组,差异具有统计学意义(P<0.01)。(2)观察组患儿脱水、退热及排便成形时间均短于对照组,差异具有统计学意义(P<0.01)。(3)观察组患儿临床总有效率高于对照组,差异具有统计学意义(P<0.05)。结论:腹泻患儿在常规护理基础上,采用蒙脱石散灌肠联合枯草杆菌二联活菌颗粒治疗,能有效调整肠道菌群平衡,缓解患儿临床症状,提高治疗效果。
Objective: To investigate the effect of montmorillonite sausage combined with Bacillus subtilis two live bacteria in pediatric diarrhea nursing. Methods: A total of 100 children with diarrhea treated in pediatric department of Qingyuan MCH hospital from July to November 2015 were selected as study subjects, and divided into control group and observation group with 50 cases in each group by random number grouping method. The control group was given routine treatment and basic nursing; the observation group was treated with montmorillonite enema combined with Bacillus subtilis viable particles on the basis of the control group. The clinical efficacy, changes in intestinal flora and the recovery of clinical symptoms in both groups were compared. Results: (1) At the time of admission, there was no significant difference in intestinal distribution between the two groups (P> 0.05). After intervention, the distribution of colony in the observation group was significantly better than that in the control group Significance (P <0.01). (2) The dehydration, antipyretic and defecation forming time in the observation group were shorter than those in the control group, the difference was statistically significant (P <0.01). (3) The total effective rate of observation group was higher than that of control group, the difference was statistically significant (P <0.05). Conclusion: In children with diarrhea, on the basis of routine nursing, montmorillonite powder combined with Bacillus subtilis and two strains of live bacteria can effectively adjust the balance of intestinal flora, relieve the clinical symptoms and improve the therapeutic effect.