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目的分析小儿腹泻用药品种,为临床用药、药品购进提供参考。方法统计昆明市儿童医院1996年8月至1998年8月西药库帐目统计、药品消耗之品种,分两年进行比较分析,按各品种消耗量多少排列顺序。结果1996年8月至1997年8月为:乳酶片,多酶片,古胺卡那,思密达,乳酸菌素,先锋铋,小儿痢宝,回春生,妈噗爱,培菲康,米雅。1997年9月至1998年8月为:乳酸菌素,促菌生,妈咪爱,回春生,先锋铋,思密达,乳酶生,多酶,丁胺卡那,培菲康,米雅。两年的比较显示:微生态调节剂的应用有明显上升趋势,尤其益生菌制剂更为突出居上。讨论随着肠道微生态的深入认识和微生态制剂的临术应用,对小儿腹泻的治疗以基于益生菌种有害菌的认识,重视到肠道菌群平衡的问题。小儿一方面由于免疫系统还不成熟,机体很容易感染各种疾病,另一方面由于采用抗生素治疗,使正常菌群发生改变,生态失调,引起菌群交替症,导致腹泻。因此使用微生态制剂治疗,使之肠道内保持一个安定的生态平衡的正常肠内菌群,对于包括各种病原菌在内的外籍菌引起的肠道感染具有明显的抵抗力就格外显得重要。结论临床应用微生态调节剂取得良好疗效,尤其益生菌活菌制剂的应用,为小儿腹泻拓宽了一条新路
Objective To analyze the variety of pediatric diarrhea medication and provide references for clinical medication and drug purchase. Methods Statistics Kunming Children’s Hospital from August 1996 to August 1998 accounting records of Western Medicine, drug consumption of varieties, comparative analysis of two years, according to the consumption of each variety in order of how much. Results From August 1996 to August 1997, lactam tablets, multi-enzyme tablets, amikacin, Smecta, lactobacillus, Pioneer bismuth, pediatric puerperal, rejuvenation, Miya. From September 1997 to August 1998: Lactobacillus, Pseudomonas aeruginosa, Mommy love, Rejuvenation, Pioneer bismuth, Smectite, Lactasone, Multizyme, Amikacin, Pefikan, Mia . Two years of comparison shows: the application of micro-ecological regulator has shown a clear upward trend, in particular, more prominent probiotics placement. Discussion With the deepening understanding of gut microecology and the clinical application of probiotics, the treatment of pediatric diarrhea is based on the recognition of harmful bacteria in probiotics and attaches importance to the balance of intestinal microflora. On the one hand, children are not yet mature due to the immune system, the body is very susceptible to various diseases, on the other hand due to the use of antibiotic treatment, the normal flora changes, ecological disorders, causing alternating flora, leading to diarrhea. Therefore, the use of probiotics treatment, so that the intestine to maintain a stable ecological balance of normal intestinal flora, including various pathogens, including foreign bacteria caused by intestinal infections with obvious resistance is particularly important. Conclusion The clinical application of micro-ecological regulator has achieved good results, especially the application of probiotic live bacteria, which has widened a new road for infantile diarrhea