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[目的]观察麻疹灌肠液联合西药治疗小儿麻疹疗效。[方法]使用随机平行对照方法,将108例门诊及住院患者按随机数字表法分为两组。对照组54例抗炎、对症治疗、支持治疗。治疗组54例前驱期,Ⅰ号麻疹灌肠液;出疹期,Ⅱ号麻疹灌肠液;恢复期,Ⅲ号麻疹灌肠液。水煎30～50mL,过滤分装。将分装好的药液加温至38℃左右,用50mL注射器抽吸适量2%奴夫卡因,再抽吸灌肠液保留灌肠,2次/d;将导管插入肛门内5～7cm,取灌肠液灌肠,灌肠后应将臀部抬高,仰卧30～40min,然后再右侧卧相同时间,2次/d。不同年龄段患儿所需灌肠液用量不同,5个月～1岁,10～20mL;1～3岁,20～30mL;3～6岁,30～50mL。西药治疗同对照组。连续治疗4～6d为1疗程。观测临床症状、症状体征变化时间、不良反应。连续治疗1疗程,判定疗效。[结果]治疗组治愈32例,好转20例,无效2例,总有效率96.30%。对照组治愈21例,好转24例,无效9例,总有效率83.33%。治疗组疗效优于对照组(P<0.05)。症状体征变化时间治疗组低于对照组(P<0.01)。[结论]麻疹灌肠液联合西药治疗小儿麻疹效果显著,值得推广。
[Objective] To observe the curative effect of measles enema combined with Western medicine on measles in children. [Methods] Using randomized parallel method, 108 outpatients and inpatients were divided into two groups according to random number table. The control group of 54 cases of anti-inflammatory, symptomatic treatment, supportive treatment. 54 cases of prodromal treatment group, Ⅰ measles enema; rash, measles enema Ⅱ; recovery period, Ⅲ measles enema. Decoction 30 ~ 50mL, filtration and packaging. The aliquot of the liquid was warmed to about 38 ℃, with a 50mL syringe suction amount of 2% Nuvucine, enema and then suction enema retention, 2 times / d; the catheter into the anus 5 ~ 7cm, take Enema enema, enema should be hip elevation, supine 30 ~ 40min, then right side lying the same time, 2 times / d. Children of different ages need different amounts of enema, 5 months to 1 year old, 10 to 20 mL; 1 to 3 years old, 20 to 30 mL; 3 to 6 years old, 30 to 50 mL. Western medicine treatment with the control group. Continuous treatment of 4 ~ 6d for a course of treatment. Observation of clinical symptoms, symptoms and signs of change time, adverse reactions. Continuous treatment of a course of treatment to determine the efficacy. [Results] The cure group cured 32 cases, improved in 20 cases, 2 cases, the total effective rate was 96.30%. The control group cured 21 cases, improved in 24 cases, ineffective in 9 cases, the total effective rate was 83.33%. The treatment group was better than the control group (P <0.05). Symptoms and signs of change in the treatment group was lower than the control group (P <0.01). [Conclusion] Measles enema combined with Western medicine has significant effect on measles in children and is worth popularizing.