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目的:观察消旋卡多曲联合甘草锌治疗婴幼儿急性水样腹泻的临床疗效。方法:选择急性水样腹泻婴幼儿96例,随机分为观察组49例和对照组47例。对照组在退热、补液等常规治疗基础上,给予十六角蒙脱石加金双歧治疗,观察组加用消旋卡多曲及甘草锌治疗,对比两组临床疗效。结果:(1)两组治疗后第2天、第3天便次及平均止泻时间比较,差异显著(P<0.05)。(2)观察组显效40例,有效7例,无效2例,总有效率95.9%;对照组显效29例,有效10例,无效8例,总有效率83.0%。两组总有效率比较,差异显著(P<0.05)。(3)观察组治疗期间仅出现恶心2例、便秘1例,未发现皮疹、腹痛、白细胞减少等不良反应。结论:消旋卡多曲及甘草锌是婴幼儿急性水样腹泻有效且安全的治疗药物。
Objective: To observe the clinical efficacy of racecadotril and licorice zinc in the treatment of acute watery diarrhea in infants. Methods: A total of 96 infants and young children with acute watery diarrhea were randomly divided into observation group (n = 49) and control group (n = 47). Control group in the fever, rehydration and other conventional treatment based on the given montmorillonite plus gold bifidobacterium treatment, the observation group plus racecadotril and licorice zinc treatment, the clinical efficacy of two groups were compared. Results: (1) There was significant difference between the two groups on the 2nd and the 3rd days after treatment and the average anti-diarrhea time (P <0.05). (2) The observation group was markedly effective in 40 cases, effective in 7 cases, invalid in 2 cases, the total effective rate was 95.9%; the control group markedly effective in 29 cases, effective in 10 cases, ineffective in 8 cases, the total effective rate was 83.0%. The total effective rate between the two groups, the difference was significant (P <0.05). (3) In the observation group, only nausea occurred in 2 cases and constipation in 1 case. No adverse reactions such as rash, abdominal pain and leukopenia were observed. Conclusion: Racecadotril and licorice zinc are effective and safe therapeutic agents for acute watery diarrhea in infants and toddlers.