摘 要 目的：探讨推拿疗法联合王氏保赤丸敷脐治疗小儿秋季湿热泻的临床疗效及安全性。方法：选取80例湿热泻患儿，采用随机数表方法分为试验组和对照组各40例，试验组采用推拿疗法联合王氏保赤丸敷脐治疗，对照组采用蒙脱石散联合培菲康治疗。比较两组的疗效及不良反应发生情况。结果：试验组疗效明显优于对照组（P<0.05），且无明显不良反应发生。结论：中医外治法疗效优于西药对照组，且无明显不良反应发生。

关键词 推拿 王氏保赤丸敷脐 小儿湿热泻

中图分类号：R286； R272.5 文献标志码：B 文章编号：1006-1533（2020）03-0029-02

Clinical effect of massage therapy combined with external application of Wangshi Baochi pill in the treatment of infantile dampness-heat diarrhea

ZHU Hui*

（Department of Pediatrics， Nantong Hospital of Traditional Chinese Medicine， Jiangsu Nantong 226001， China）

ABSTRACT Objective： To observe clinical efficacy and safety of massage therapy combined with external application of Wangshi Baochi pill in the treatment of infantile dampness-heat diarrhea. Methods： Eighty children with dampness-heat diarrhea were selected and randomly divided into a treatment group （treated with massage therapy combined with external application of Wangshi Baochi pill） and a control group （treated with smectite powder and Bifid Lriple Viable） with 40 cases each. The efficacy and the incidence of adverse reactions were compared between the two groups. Results： The clinical efficacy was significantly better in the treatment group than the control group and furthernore there were no obvious adverse reactions. Conclusion： Traditional Chinese medicine external treatment is more effective than western medicine and had no obvious adverse reactions.

KEY WORDS massage； external application of Wangshi Baochi pill； infantile dampness-heat diarrhea

小兒秋季腹泻是由轮状病毒引起的一种常见疾病，发病时间大多在10—12月，主要通过粪-口传播、接触直接感染、亦可呼吸道传播，易造成流行。该病起病急，初期有发热，半数患儿伴呕吐，大便次数增多，蛋花样，每日可10余次，严重者可出现脱水和电解质紊乱等。小儿秋季腹泻最常见的证型为湿热泻，西医目前尚无特效抗病毒药物，临床以补液、胃肠黏膜保护剂及微生态制剂等对症治疗为主。中医外治法可取得较好的疗效。

1 资料与方法

1.1 一般资料

选取南通市中医院门急诊收治的确诊为秋季腹泻湿热泻的患儿80例，经监护人同意后随机分为试验组和对照组各40例。符合中西医诊断标准，病情分类为轻度、中度者。病原体检查：大便轮状病毒检测（+）。年龄为6个月～5岁，两组患儿的性别、年龄、体重、体温、病程、腹泻病情分级及治疗前症状积分比较差异无统计学意义（P>0.05），具可比性。排除合并严重基础疾病及皮肤破溃的患儿。

1.2 诊断标准

诊断依据：起病急，病程在3 d内；大……