195例小儿腹泻致病因素分析及治疗对策

李茹

（陕西省城固县中医医院，陕西 汉中，723200）

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摘要：

目的 分析小儿腹泻的致病因素，提出治疗对策并评价其临床疗效。方法 对我院儿科门诊收治的195例腹泻患儿的个体情况、发病特点及疑似致病因素等进行分析，总结引起小儿腹泻的致病因素，并评价治疗方案及效果。根据护理及治疗方法的不同分成治疗组（100例）和对照组（95例），治疗组根据致病因素的分析结果给予针对性的治疗及护理方法，对照组继续沿用传统的小儿腹泻治疗及护理方法，评价临床效果。结果 小儿腹泻中，病毒、真菌、细菌等（93.8%），抗生素滥用（65.1%），喂养问题（57.9%）等为主要致病因素。治疗组止泻时间、退热时间、大便次数明显优于对照组（P<0.05），总有效率达到97.0%，高于对照组的91.6%（P<0.05）。结论 引起小儿腹泻的因素较多，如病毒感染、喂养问题、抗生素使用等。临床应根据致病原因给予腹泻患儿针对性的治疗，同时加强日常预防性护理，以减少腹泻发生的风险。

关键词：小儿腹泻；致病因素；病毒感染

中图分类号：R725.7文献标志码：A文章编号：2096-1413(2017)22-0101-02

Pathogenic factors analysis and treatment measures of 195 cases infantile diarrheain
LI Ru
(TCM Hospital of Chenggu County, Hanzhong 723200, China)

ABSTRACT: Objective To analyze the causative factors of infantile diarrhea in children, and provide therapeutic strategies and evaluate its clinical efficacy. Methods The characteristics of 195 cases of infantile diarrhea in pediatric outpatient department of our hospital were prospectively analyzed, including individual conditions, disease characteristics and suspected pathogenic factors. The disease factors, treatment programs and effect were evaluated. According to the treatment and nursing methods, the children were divided into treatment group (100 cases) and control group (95 cases). The treatment group was given targeted treatment and nursing according to causati ve factors, while the control group continued to follow the traditional infant diarrhea treatment and nursing method, then the clinical effects were evaluated. Results Among the infantile diarrhea pathogenic factors, the viruses, fungi, bacteria accounted for 93.8% , the abuse of antibiotics accounted for 65.1% , the feeding problems accounted for 57.9% . The antipyretic time, fever time and stool frequency in the treatment group were better than those in the control group (P<0.05). The total effective rate of the treatment group was 97.0%, which was higher than 91.6% of the control group (P<0.05). Conclusion There are many factors causing diarrhea in children, such as virus infection, feeding problem, antibiotic use, etc. The children should be given targeted treatment based on clinical causes of diarrhea and daily preventive care, which can reduce the risk of diarrhea.

KEYWORDS: infantile diarrhea; pathogenic factor; viral infection

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