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[一种新型氨基酸溶液对急性腹泻哺乳婴儿口服补液的效果。一项前瞻性研究]

[Effect of a new amino acid solution in the oral hydration of nursing infants with acute diarrhea. A prospective study].

作者信息

Velásquez-Jones L, Mota-Hernández F

机构信息

Servicio de Hidratación Oral, Hospital Infantil de México Federico Gómez.

出版信息

Gac Med Mex. 1990 Jul-Aug;126(4):315-22; discussion 322-3.

PMID:2093568
Abstract

Thirty-two one- to 12-month-old male infants with diarrheal dehydration treated with either the oral rehydration solution recommended by the World Health Organization (WHO), or the same solution modified by the addition of glycerine (60 mmol/L) and glycil-glycine (30 mmol/L), with a total osmolality of 379 mOsm/kg. The patients belonging to the latter group exhibited greater stool losses (10.3 +/- 8.3 vs 8.0 +/- 6.4 mL/kg/hour) and a greater urine volume (10.4 +/- 14.2 vs 4.6 +/- 4.0 mL/kg/6 hours), during the first four to six hours of the rehydration period. The results of this study show, that in contrast with those of other series, the addition of glycine and glycil-glycine to the WHO solution, at the concentrations used in the study, produces greater fecal water losses in children with dehydration due to acute diarrhea.

摘要

32名1至12个月大的患有腹泻性脱水的男婴,分别接受了世界卫生组织(WHO)推荐的口服补液溶液治疗,或添加了甘油(60 mmol/L)和甘氨酰甘氨酸(30 mmol/L)的相同溶液治疗,其总渗透压为379 mOsm/kg。在补液期的前四至六小时内,后一组患者的粪便排出量更大(10.3±8.3 vs 8.0±6.4 mL/kg/小时),尿量也更多(10.4±14.2 vs 4.6±4.0 mL/kg/6小时)。该研究结果表明,与其他系列研究结果相反,在本研究使用的浓度下,向WHO溶液中添加甘氨酸和甘氨酰甘氨酸,会使急性腹泻所致脱水儿童的粪便水分流失更多。

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