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[蒙脱石散治疗小儿急性腹泻的疗效评估]

[Evaluation of diosmectite in acute diarrhea in children].

作者信息

Milocco C, Bolis A, Rizzo V, Suprani T, Cerasoli G, Marani M, Pocecco M

机构信息

Divisione Pediatrica, O.C. M. Bufalini, Cesena, FO, Italia.

出版信息

Pediatr Med Chir. 1999 May-Jun;21(3):129-33.

Abstract

The aim of this case-control study, was to estimate clinical effects, safety and parents' assessment of Diosmectite, in acute infantile diarrhoea. Thirty-five children aged 0-5 years, with acute diarrhoea from at least 5 days received alternatively oral rehydration solution (ORS) and Diosmectite (3 g/day for 3 days in children aged under 3 years and 6 g/day for 3 days in children aged over 3 years) (16 cases) or ORS only (19 cases). At discharge, parents' opinion concerning satisfaction for treatment received was evaluated through a questionnaire. Differences in the amount of liquid intake, weigh recovery, resolution of fever, resolution of vomiting and number of loose stools in the first 48 hours of hospitalization were not significant. Diosmectite was well tolerated and no major side effects were found. Parents' satisfaction for therapy resulted higher in the treated group than in the control group, even if differences were not significant. Treatment with ORS and Diosmectite allowed to shorten the mean duration of hospitalization by 0.4 days/children in the treatment group compared to the control group. Further studies with more cases and with higher does of the drug are necessary to confirm our results.

摘要

本病例对照研究的目的是评估蒙脱石散治疗婴幼儿急性腹泻的临床疗效、安全性及家长的评价。35例0至5岁急性腹泻至少5天的儿童,交替接受口服补液盐(ORS)和蒙脱石散治疗(3岁以下儿童3克/天,连用3天;3岁以上儿童6克/天,连用3天)(16例)或仅接受ORS治疗(19例)。出院时,通过问卷调查评估家长对所接受治疗的满意度。住院48小时内液体摄入量、体重恢复、发热消退、呕吐缓解及腹泻次数的差异无统计学意义。蒙脱石散耐受性良好,未发现严重副作用。治疗组家长对治疗的满意度高于对照组,尽管差异无统计学意义。与对照组相比,治疗组采用ORS和蒙脱石散治疗可使儿童平均住院时间缩短0.4天/人。需要更多病例和更高剂量药物的进一步研究来证实我们的结果。

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