Römer H, Piña J M, Mercedes Niño E, Rodríguez Márquez M L, Anadina Salvatierra C, Pérez Schael I, Urrestarazu M I, Montilla González Z, Esperanza Blanco M, Viloria N
Servicio de Gastroenterología, Hospital de Niños J. M. de los Ríos, Caracas, Venezuela.
G E N. 1991 Jan-Mar;45(1):26-31.
We studied 108 children between 3 and 36 months of age with acute diarrhea and dehydration when their diarrhea continued more than 24 hours following initiation of ORT and in whom we measured pH and glucose of stools with strips in all evacuations. According to the average stool pH and glucose in the first six hours, the patients were grouped in pH < or = 5.5 and > 5.5 and a glucose < or = 1+ and > 1+. The pH of stools < or = 5.5 increased significantly (P < or = .0005) in children between > 6-12 hours and by 48 hours, it was similar to those with an initial average pH 6.6 Stool glucose declined considerably between > 12 and 24 hours. Contrary to what we expected to find, children with pH > 5.5 excreted more stools and had a higher ORT intake in the first 24 hours. The systematic studies of pH and glucose of stools did not appear to be useful for children with acute diarrhea who had a satisfactory evolution.
我们研究了108名3至36个月大的患有急性腹泻和脱水的儿童，这些儿童在开始口服补液疗法（ORT）后腹泻持续超过24小时，且我们在每次排便时都用试纸测量了粪便的pH值和葡萄糖含量。根据前六个小时粪便的平均pH值和葡萄糖含量，将患者分为pH≤5.5和>5.5以及葡萄糖≤1+和>1+两组。在6至12小时以上的儿童中，粪便pH≤5.5显著升高（P≤0.0005），到48小时时，其与初始平均pH值为6.6的儿童相似。粪便葡萄糖在12至24小时之间显著下降。与我们预期的相反，pH>5.5的儿童在最初24小时内排便更多，口服补液疗法的摄入量更高。对粪便pH值和葡萄糖的系统研究似乎对病情进展良好的急性腹泻儿童没有用处。
