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儿童霍乱期间食用糙米饭对临床结局的影响。

Effect of boiled-rice feeding in childhood cholera on clinical outcome.

出版信息

Hum Nutr Clin Nutr. 1986 Jul;40(4):249-54.

PMID:2943703
Abstract

Forty-eight children, aged 2-5 years, presenting with watery diarrhoea of less than 48 h duration at home prior to hospitalization, were admitted into a randomized controlled clinical trial, 24 children being treated during the first 24 h of admission with oral rehydration solution (ORS) alone and 24 children being given 'ORS plus boiled-rice feeding'. The latter group received boiled-rice to supply at least 55 kcal/kg/d (about 150 g boiled-rice per feed, given four times daily). Vibrio cholerae were isolated by stool culture on admission from all children. No antibiotics were given. Clinical characteristics of children in the two treatment groups were comparable. Among children given 'ORS plus boiled rice', there was a significant increase in volume of diarrhoea stools (P less than 0.05), duration of diarrhoea in hospital (P less than 0.01), and more frequent diarrhoea motions (not significant statistically). However, the children fed boiled rice absorbed and retained 176 ml more fluid, and had gain in body weight comparable to that observed in children who were not fed during the first 24 h of hospitalization.

摘要

48名2至5岁的儿童,在住院前在家中出现持续时间少于48小时的水样腹泻,被纳入一项随机对照临床试验。24名儿童在入院后的头24小时仅接受口服补液盐(ORS)治疗,另外24名儿童接受“ORS加喂米汤”治疗。后一组接受米汤,以提供至少55千卡/千克/天(每次喂食约150克米汤,每天喂4次)。所有儿童入院时粪便培养均分离出霍乱弧菌。未给予抗生素。两个治疗组儿童的临床特征具有可比性。在给予“ORS加米汤”的儿童中,腹泻粪便量显著增加(P<0.05),住院腹泻持续时间显著增加(P<0.01),腹泻次数更频繁(统计学上无显著差异)。然而,喂米汤的儿童多吸收并保留了176毫升液体,体重增加与住院头24小时未喂食的儿童相当。

相似文献

1
Effect of boiled-rice feeding in childhood cholera on clinical outcome.儿童霍乱期间食用糙米饭对临床结局的影响。
Hum Nutr Clin Nutr. 1986 Jul;40(4):249-54.
2
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Bull World Health Organ. 1985;63(4):751-6.
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Rice-ORS versus glucose-ORS in management of severe cholera due to Vibrio cholerae O139 Bengal: a randomized, controlled clinical trial.米糠口服补液盐与葡萄糖口服补液盐用于治疗由霍乱弧菌O139孟加拉型引起的重症霍乱的疗效比较:一项随机对照临床试验
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Rice-ORS shortens the duration of watery diarrhoeas. Observation from rural Bangladesh.大米口服补液盐可缩短水样腹泻的病程。来自孟加拉国农村的观察结果。
Trop Geogr Med. 1991 Jan-Apr;43(1-2):23-7.
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Treatment of acute infantile diarrhoea with a commercial rice-based oral rehydration solution.用市售大米基口服补液溶液治疗急性婴儿腹泻。
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Efficacy of a packaged rice oral rehydration solution among children with cholera and cholera-like illness.袋装大米口服补液溶液对霍乱及霍乱样疾病患儿的疗效。
Acta Paediatr. 2001 May;90(5):505-10.
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Does oral rehydration therapy alter food consumption and absorption of nutrients in children with cholera?口服补液疗法会改变霍乱患儿的食物摄入量和营养吸收情况吗?
J Trop Med Hyg. 1986 Jun;89(3):113-7.
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引用本文的文献

1
Issues and Controversies in the Evolution of Oral Rehydration Therapy (ORT).口服补液疗法(ORT)演变中的问题与争议
Trop Med Infect Dis. 2021 Mar 12;6(1):34. doi: 10.3390/tropicalmed6010034.
2
Early versus Delayed Refeeding for Children with Acute Diarrhoea.急性腹泻儿童的早期与延迟再喂养
Cochrane Database Syst Rev. 2011 Jul 6;2011(7):CD007296. doi: 10.1002/14651858.CD007296.pub2.
3
Cholera and severe toxigenic diarrhoeas.霍乱和严重的产毒素性腹泻。
Gut. 1994 Feb;35(2):145-9. doi: 10.1136/gut.35.2.145.
4
Effects of food with two oral rehydration therapies: a randomised controlled clinical trial.两种口服补液疗法搭配食物的效果:一项随机对照临床试验
Gut. 1992 Apr;33(4):560-2. doi: 10.1136/gut.33.4.560.