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口服补液治疗轮状病毒腹泻:蔗糖与葡萄糖电解质溶液的双盲比较

Oral hydration rotavirus diarrhoea: a double blind comparison of sucrose with glucose electrolyte solution.

作者信息

Sack D A, Chowdhury A M, Eusof A, Ali M A, Merson M H, Islam S, Black R E, Brown K H

出版信息

Lancet. 1978 Aug 5;2(8084):280-3. doi: 10.1016/s0140-6736(78)91687-2.

Abstract

Of 57 male children, aged 5 months to 2 1/2 years with rotavirus diarrhoea, 28 were given oral therapy with sucrose electrolyte solution and 29 were given glucose electrolyte solution in a randomised double-blind trial. All were rehydrated and remained so on oral therapy alone. These patients were compared with 44 children, also with rotavirus, who were treated only with intravenous hydration. The oral therapy and intravenous therapy groups did not differ clinically in the rate of rehydration or the rate of purging. Vomiting did not prevent the giving of oral therapy during hospital admission. Bangladeshi children with rotavirus diarrhoea have a defect of carbohydrate digestion but this defect does not prevent the use of a sugar electrolyte solution for oral hydration.

摘要

在一项随机双盲试验中,对57名年龄在5个月至2岁半、患有轮状病毒腹泻的男童进行了研究,其中28名给予蔗糖电解质溶液口服治疗,29名给予葡萄糖电解质溶液口服治疗。所有患儿均实现补液,且仅通过口服治疗即可维持。将这些患儿与44名同样患有轮状病毒感染、仅接受静脉补液治疗的儿童进行比较。口服治疗组和静脉治疗组在补液速度或腹泻频率方面并无临床差异。住院期间呕吐并不妨碍进行口服治疗。患有轮状病毒腹泻的孟加拉儿童存在碳水化合物消化缺陷,但这种缺陷并不妨碍使用糖电解质溶液进行口服补液。

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