Fox R, Leen C L, Dunbar E M, Ellis M E, Mandal B K
Regional Department of Infectious Diseases and Tropical Medicine, Monsall Hospital, Newton Heath, Manchester.
Arch Dis Child. 1990 Sep;65(9):936-8. doi: 10.1136/adc.65.9.936.
Sixty two babies under the age of 6 months who were admitted with gastroenteritis completed a study of gradual refeeding compared with abrupt refeeding after a period of rehydration. There was no difference in the incidence of recurrence of diarrhoea due to lactose intolerance, effect on weight, or duration of hospital stay. Twenty six babies (42%) had recurrence of diarrhoea after refeeding, all of whom settled with the introduction of a lactose free soya based formula. Well nourished babies under 6 months of age with mild to moderately severe gastroenteritis can be fed immediately with full strength milk feeds after rehydration. The introduction of a lactose free soya based preparation may provide an alternative to repeated attempts at regrading with cows' milk feeds in those patients with lactose intolerance.
62名6个月以下因肠胃炎入院的婴儿完成了一项关于补液一段时间后逐步重新喂养与突然重新喂养的对比研究。乳糖不耐受导致腹泻复发的发生率、对体重的影响或住院时间并无差异。26名婴儿(42%)重新喂养后出现腹泻复发,所有这些婴儿在引入无乳糖大豆配方奶粉后症状缓解。6个月以下营养状况良好、患有轻至中度肠胃炎的婴儿在补液后可立即用全浓度牛奶喂养。对于那些乳糖不耐受的患者,引入无乳糖大豆制剂可替代反复尝试用牛奶喂养逐步升级。