1. 上海中医药大学附属曙光医院,上海,201203
2. 上海市公共卫生临床中心,上海,201508
3. 浙江省杭州市西溪医院,浙江,杭州,310014
4. 天津市第二人民医院,天津,300192
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叶青艳, 陈建杰, 凌琪华, 等. 葛根芩连汤加味方干预肠道湿热型急性感染性腹泻的多中心、随机双盲、安慰剂对照临床研究[J]. 上海中医药杂志, 2017,51(9):48-52.
YE Qing-yan, CHEN Jian-jie, LING Qi-hua, et al. Modified Gegen Qinlian Decoction in the treatment of acute infectious diarrhea with syndrome of intestinal dampness-heat:A multicenter,randomized,double-blind and placebo-controlled clinical study[J]. Shanghai Journal of Traditional Chinese Medicine, 2017,51(9):48-52.
叶青艳, 陈建杰, 凌琪华, 等. 葛根芩连汤加味方干预肠道湿热型急性感染性腹泻的多中心、随机双盲、安慰剂对照临床研究[J]. 上海中医药杂志, 2017,51(9):48-52. DOI:
YE Qing-yan, CHEN Jian-jie, LING Qi-hua, et al. Modified Gegen Qinlian Decoction in the treatment of acute infectious diarrhea with syndrome of intestinal dampness-heat:A multicenter,randomized,double-blind and placebo-controlled clinical study[J]. Shanghai Journal of Traditional Chinese Medicine, 2017,51(9):48-52. DOI:
目的:观察葛根芩连汤加味方联合基础治疗对肠道湿热型急性感染性腹泻的临床疗效及安全性。 方法:采用多中心、随机双盲、安慰剂设计,将144例肠道湿热证急性感染性腹泻患者,随机分为治疗组和对照组,每组72例。两组均予西医基础治疗,治疗组加用葛根芩连汤加味方,对照组加用中药安慰剂。两组疗程均为3天,观察临床疗效,比较中医证候积分、止泻时间及粪便镜检白细胞的变化情况。 结果:①试验期间,脱落和剔除病例共9例,最终完成试验者135例。调整意向分析集与安全性分析集均为139例,其中治疗组69例,对照组70例。符合方案分析集为135例,治疗组68例,对照组67例。②治疗组、对照组临床总有效率分别为94.20%、85.71%;组间临床疗效比较,治疗组明显优于对照组(P<0.05)。③两组平均止泻时间比较,差异有统计学意义,治疗组平均止泻时间明显短于对照组(P<0.05)。④治疗前后组内比较,两组粪便镜检白细胞正常率均差异有统计学意义(P<0.05);组间治疗后比较,粪便镜检白细胞正常率差异无统计学意义(P>0.05)。⑤治疗组不良反应发生情况为0/69,对照组不良反应发生情况为0/70,组间不良反应发生率比较,差异无统计学意义(P>0.05)。 结论:葛根芩连汤加味方结合西医基础治疗对肠道湿热型急性感染性腹泻患者的临床症状改善显著,可有效缩短腹泻病程。
Objective:To observe the clinical efficacy and safety of Modified Gegen Qinlian Decoction combined with basic therapy in the treatment of acute infectious diarrhea with syndrome of intestinal dampness-heat. MethodsA multi-center,randomized,double-blind and placebo-controlled clinical study was performed. 144 patients of acute infectious diarrhea with syndrome of intestinal dampness-heat were randomly divided into the treatment group and control group,72 cases in each group. Both groups were treated with basic therapy of western medicine,and the treatment group was treated with Modified Gegen Qinlian Decoction and the control group was treated with placebo of Chinese medicine additionally. The treatment course in both groups was 3 days. The clinical efficacy was observed,and the changes of TCM syndrome score,antidiarrheal time and leukocytes in fecal microscopic examination were compared. Results:①During trial,a total of 9 cases were excluded or fell off,and finally 135 cases completed the trial. There were 139 cases in analysis set of modified intent-to-treat(MITT)or safety analysis(SA),among 69 cases in the treatment group and 70 cases in the control group. There were 135 cases in analysis set of per-protocol(PP),among 68 cases in the treatment group and 67 cases in the control group. ②The clinical total effective rate was 94.20% in the treatment group and 85.71% in the control group. The clinical efficacy of the treatment group was significantly better than that of the control group(P<0.05). ③There was statistically significant difference on the average antidiarrheal time between the two groups,and the average antidiarrheal time of the treatment group was obviously less than that of the control group(P<0.05). ④For the comparison between treatment before and after,there was statistically significant difference on the normal rate of leukocytes in fecal microscopic examination in both groups(P<0.05). After treatment,there was no statistically significant difference on the normal rate of leukocytes in fecal microscopic examination between the two groups(P>0.05). ⑤ No adverse reaction was observed in both groups. There was no statistically significant difference on the incidence of adverse reaction between the two groups(P>0.05). Conclusion:Modified Gegen Qinlian Decoction combined with basic therapy of western medicine can significantly improve the clinical symptoms of patients with acute infectious diarrhea,and effectively shorten the diarrhea time.
急性感染性腹泻肠道湿热泄泻葛根芩连汤止泻时间
acute infectious diarrheaintestinal dampness-heatdiarrheaGegen Qinlian Decoctionantidiarrheal time
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