Laghari Ghulam Shabbir, Hussain Zahid, Taimur Muhammad, Jamil Nasir
Pediatrics, Liaquat University of Medical and Health Sciences, Jamshoro, PAK.
Pediatrics, National Institute of Child Health, Karachi, PAK.
Cureus. 2019 Apr 16;11(4):e4475. doi: 10.7759/cureus.4475.
Introduction Pneumonia is one of the major causes of death in children younger than age five, especially in developing countries. The World Health Organization recommends children from a developing country take zinc supplements. We conducted this study to explore the efficacy of zinc supplementation in alleviating symptoms and shortening of hospital stay in children with pneumonia. Materials and methods We conducted this prospective, randomized controlled trial in the Department of Pediatrics, Civil Hospital, Jamshoro. We included 100 children of both genders randomized into two equal groups of zinc-supplemented and non-zinc-supplemented study groups after informed consent was obtained from the parents and legal guardians. The participants were aged 28 days to five years and admitted in the hospital with pneumonia. We monitored for hypoxia, tachypnea, chest indrawing, and cyanosis, and we recorded the total length of hospital stay for each group. Results We found no significant difference in symptom changes (i.e., hypoxia, tachypnea, chest indrawing, and cyanosis) between the zinc and non-zinc groups. However, hospital length of stay was significantly shorter for patients in the zinc-supplemented group compared to the non-zinc-supplemented group. Conclusion Zinc supplementation did not yield a statistically significant reduction in symptoms in children with severe pneumonia. Zinc supplements given during an acute episode are not beneficial in short-term clinical recovery from severe pneumonia in hospitalized children.
引言
肺炎是五岁以下儿童主要死因之一,在发展中国家尤为如此。世界卫生组织建议发展中国家儿童补充锌剂。我们开展本研究以探讨补充锌剂对缓解肺炎患儿症状及缩短住院时间的疗效。
材料与方法
我们在占木肖洛市民医院儿科开展了这项前瞻性随机对照试验。在获得患儿父母及法定监护人知情同意后,将100名男女儿童随机分为补充锌剂和未补充锌剂的两个相等研究组。参与者年龄在28天至5岁之间,因肺炎入院。我们监测了低氧血症、呼吸急促、胸凹陷和发绀情况,并记录了每组的总住院时间。
结果
我们发现补充锌剂组与未补充锌剂组在症状变化(即低氧血症、呼吸急促、胸凹陷和发绀)方面无显著差异。然而,与未补充锌剂组相比,补充锌剂组患者的住院时间明显更短。
结论
补充锌剂对重症肺炎患儿症状的减轻未产生统计学上的显著效果。在急性发作期给予锌剂对住院重症肺炎患儿的短期临床康复并无益处。