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患有急性腹泻和糖不耐受的营养不良儿童的管理

Management of malnourished children with acute diarrhoea and sugar intolerance.

作者信息

Beau J P, Fontaine O, Garenne M

出版信息

J Trop Pediatr. 1990 Apr;36(2):86-9. doi: 10.1093/tropej/36.2.86.

DOI:10.1093/tropej/36.2.86
PMID:2355409
Abstract

A protocol of nutritional rehabilitation using fermented milk, vegetable oil and caster sugar has been tested on 54 Senegalese children, aged 6-36 months, admitted with acute diarrhoea and malnutrition. At the time of admission, 39 per cent of children were dehydrated and 26 per cent had sugar intolerance. In the course of treatment three went home against medical advice and one died from acute pneumonia with respiratory-heart failure. Among the cases of marasmus there were no differences in mean weight gain between children with sugar intolerance and others despite a longer duration of diarrhoea in the first group. Furthermore, the experimental protocol has never been compromised because of worsening diarrhoea or weight loss. These results indicate that a formula based on fermented milk together with oral rehydration can be used to treat malnourished children with acute diarrhoea and sugar intolerance.

摘要

一种使用发酵乳、植物油和细砂糖的营养康复方案,已在54名6至36个月大、因急性腹泻和营养不良入院的塞内加尔儿童身上进行了测试。入院时,39%的儿童脱水,26%的儿童有糖不耐受。在治疗过程中,有3名儿童不听医嘱自行回家,1名儿童死于急性肺炎伴呼吸心力衰竭。在消瘦病例中,尽管糖不耐受组儿童腹泻时间较长,但该组与其他组儿童的平均体重增加并无差异。此外,实验方案从未因腹泻加重或体重减轻而受到影响。这些结果表明,基于发酵乳并结合口服补液的配方可用于治疗患有急性腹泻和糖不耐受的营养不良儿童。

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