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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. 1989 Dec;35(6):281-4. doi: 10.1093/tropej/35.6.281.

DOI:10.1093/tropej/35.6.281
PMID:2514280
Abstract

A protocol of nutritional rehabilitation using fermented milk, vegetable oil, and castor sugar has been tested on 54 Senegalese children age 6-36 months admitted with acute diarrhoea and malnutrition. At time of admission, 39 per cent of children were dehydrated and 26 per cent had sugar intolerance. In the course of treatment three absconded and one died from acute pneumonia with respiratory and heart failure. Among those with marasmus there were no differences in mean weight gains between children with sugar intolerance and others, despite a longer duration of diarrhoea in the first group. Furthermore, the treatment 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

一项使用发酵乳、植物油和蓖麻糖进行营养康复的方案,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名儿童逃跑,1名儿童死于急性肺炎伴呼吸和心力衰竭。在患有消瘦症的儿童中,糖不耐受的儿童与其他儿童之间的平均体重增加没有差异,尽管第一组儿童的腹泻持续时间更长。此外,治疗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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引用本文的文献

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BMC Pediatr. 2017 Apr 26;17(1):112. doi: 10.1186/s12887-017-0860-6.
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Carbohydrate malabsorption in acutely malnourished children and infants: a systematic review.急性营养不良儿童和婴儿的碳水化合物吸收不良:一项系统评价。
Nutr Rev. 2016 Jan;74(1):48-58. doi: 10.1093/nutrit/nuv058. Epub 2015 Nov 17.
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Lactose intolerance among severely malnourished children with diarrhoea admitted to the nutrition unit, Mulago hospital, Uganda.
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BMC Pediatr. 2010 May 6;10:31. doi: 10.1186/1471-2431-10-31.