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锌在小儿腹泻中的作用。

Role of zinc in pediatric diarrhea.

机构信息

Department of Pharmacology, Government Medical College, Nagpur, Maharashtra, India.

出版信息

Indian J Pharmacol. 2011 May;43(3):232-5. doi: 10.4103/0253-7613.81495.

DOI:10.4103/0253-7613.81495
PMID:21713083
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3113371/
Abstract

Zinc supplementation is a critical new intervention for treating diarrheal episodes in children. Recent studies suggest that administration of zinc along with new low osmolarity oral rehydration solutions / salts (ORS), can reduce the duration and severity of diarrheal episodes for up to three months. The World Health Organization (WHO) and UNICEF recommend daily 20 mg zinc supplements for 10 - 14 days for children with acute diarrhea, and 10 mg per day for infants under six months old, to curtail the severity of the episode and prevent further occurrences in the ensuing -two to three months, thereby decreasing the morbidity considerably. This article reviews the available evidence on the efficacy and safety of zinc supplementation in pediatric diarrhea and convincingly concludes that zinc supplementation has a beneficial impact on the disease outcome.

摘要

补锌是治疗儿童腹泻的一项重要新干预措施。最近的研究表明,在给予新型低渗透压口服补液盐/电解质溶液(ORS)的同时补充锌,可将腹泻持续时间和严重程度减少长达三个月。世界卫生组织(WHO)和联合国儿童基金会(UNICEF)建议急性腹泻儿童每日补锌 20 毫克,持续 10-14 天,6 个月以下婴儿每天补锌 10 毫克,以减轻腹泻严重程度,并防止随后的两到三个月内再次发生,从而大大降低发病率。本文综述了锌补充剂治疗儿科腹泻的疗效和安全性方面的现有证据,有力地证明了锌补充剂对疾病结局具有有益的影响。

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本文引用的文献

1
Effect of Zinc Supplementation in Children with Acute Diarrhea: Randomized Double Blind Controlled Trial.补充锌对急性腹泻儿童的影响:随机双盲对照试验
Gastroenterology Res. 2009 Jun;2(3):168-174. doi: 10.4021/gr2009.06.1298. Epub 2009 May 20.
2
Therapeutic value of zinc supplementation in acute and persistent diarrhea: a systematic review.锌补充剂治疗急性和持续性腹泻的疗效:系统评价。
PLoS One. 2010 Apr 28;5(4):e10386. doi: 10.1371/journal.pone.0010386.
3
Zinc and low osmolarity oral rehydration salts for diarrhoea: a renewed call to action.锌和低渗口服补液盐治疗腹泻:再次呼吁采取行动。
Bull World Health Organ. 2009 Oct;87(10):780-6. doi: 10.2471/blt.08.058990.
4
Zinc and diarrheal disease: current status and future perspectives.锌与腹泻病:现状与未来展望
Curr Opin Clin Nutr Metab Care. 2008 Nov;11(6):711-7. doi: 10.1097/MCO.0b013e3283109092.
5
Oral zinc for treating diarrhoea in children.口服锌治疗儿童腹泻
Cochrane Database Syst Rev. 2008 Jul 16(3):CD005436. doi: 10.1002/14651858.CD005436.pub2.
6
Zinc supplementation in the management of shigellosis in malnourished children in Bangladesh.孟加拉国营养不良儿童志贺氏菌病管理中的锌补充剂应用
Eur J Clin Nutr. 2008 Jul;62(7):849-55. doi: 10.1038/sj.ejcn.1602795. Epub 2007 Jun 6.
7
Zinc in the treatment of acute diarrhea: current status and assessment.锌在急性腹泻治疗中的应用:现状与评估
Gastroenterology. 2006 Jun;130(7):2201-5. doi: 10.1053/j.gastro.2006.02.062.
8
Zinc inhibits cholera toxin-induced, but not Escherichia coli heat-stable enterotoxin-induced, ion secretion in human enterocytes.锌可抑制霍乱毒素诱导的人肠上皮细胞离子分泌,但对大肠杆菌热稳定肠毒素诱导的离子分泌无抑制作用。
J Infect Dis. 2005 Apr 1;191(7):1072-7. doi: 10.1086/428504. Epub 2005 Feb 22.
9
Zinc therapy for diarrhoea increased the use of oral rehydration therapy and reduced the use of antibiotics in Bangladeshi children.在孟加拉国儿童中,锌疗法治疗腹泻增加了口服补液疗法的使用,并减少了抗生素的使用。
J Health Popul Nutr. 2004 Dec;22(4):440-2.
10
Zinc inhibits cAMP-stimulated Cl secretion via basolateral K-channel blockade in rat ileum.锌通过阻断大鼠回肠基底外侧钾通道来抑制环磷酸腺苷刺激的氯分泌。
Am J Physiol Gastrointest Liver Physiol. 2005 May;288(5):G956-63. doi: 10.1152/ajpgi.00441.2004. Epub 2004 Dec 23.