Laghari Ghulam Shabbir, Hussain Zahid, Shahzad Huma
Pediatrics, Liaquat University of Medical and Health Sciences, Jamshoro, PAK.
Pediatrics, National Institute of Child Health, Karachi, PAK.
Cureus. 2019 Mar 11;11(3):e4217. doi: 10.7759/cureus.4217.
Introduction Acute diarrhea in young children is a prevalent and distressing pediatric illness. The role of zinc therapy in the improvement of stool consistency and the shortening of the duration of diarrhea is still controversial. The aim of this study is to assess the effect of oral zinc supplementation in acute diarrhea. Methods Children of age 28 days till five years presenting in the outpatient department with acute diarrhea were included. Oral zinc supplementation was included in the anti-diarrheal regime of half of the children (n=50); the other half (n=50) were not given zinc. Mean body weight and the frequency and consistency of stool were noted for both groups on Days 1 and 3. Results The zinc group showed a significantly reduced frequency of diarrheal episodes on the third day of intervention (p<.00001). More children in the zinc group had soft to firm stool consistency than in the non-zinc group (p=.01). Conclusion Oral zinc supplementation has a promising role in reducing the duration of diarrhea and improving stool consistency in children with acute diarrhea. Oral zinc supplementation should be made a mandatory part of the anti-diarrheal regime for Pakistani children.
引言 幼儿急性腹泻是一种常见且令人苦恼的儿科疾病。锌疗法在改善大便性状和缩短腹泻持续时间方面的作用仍存在争议。本研究的目的是评估口服补锌对急性腹泻的影响。方法 纳入门诊就诊的28天至5岁患有急性腹泻的儿童。一半儿童(n = 50)的止泻方案中包含口服补锌;另一半(n = 50)未给予锌剂。在第1天和第3天记录两组儿童的平均体重以及大便频率和性状。结果 锌剂组在干预第3天腹泻发作频率显著降低(p <.00001)。与非锌剂组相比,锌剂组更多儿童的大便性状为软便至硬便(p = 0.01)。结论 口服补锌在缩短急性腹泻儿童的腹泻持续时间和改善大便性状方面具有显著作用。口服补锌应成为巴基斯坦儿童止泻方案的必要组成部分。