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口服大米电解质溶液在婴幼儿腹泻治疗中是否优于葡萄糖电解质溶液?

Is oral rice electrolyte solution superior to glucose electrolyte solution in infantile diarrhoea?

作者信息

Patra F C, Mahalanabis D, Jalan K N, Sen A, Banerjee P

出版信息

Arch Dis Child. 1982 Dec;57(12):910-2. doi: 10.1136/adc.57.12.910.

DOI:10.1136/adc.57.12.910
PMID:6758706
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1628063/
Abstract

In a controlled trial of oral rehydration therapy, a rice-based electrolyte solution was evaluated in a group (n=26) of infants and young children aged between 3 months and 5 years with moderate to severe dehydration owing to acute diarrhoea, and the results were compared with a matched control group (n=26) receiving WHO recommended glucose electrolyte solution. The former was found to be more effective than the latter as shown by an appreciably lower rate of stool output, a shorter duration of diarrhoea, and a smaller intake of rehydration fluid.

摘要

在一项口服补液疗法的对照试验中,对一组(n = 26)年龄在3个月至5岁之间、因急性腹泻而出现中度至重度脱水的婴幼儿使用了一种米基电解质溶液,并将结果与接受世界卫生组织推荐的葡萄糖电解质溶液的匹配对照组(n = 26)进行比较。结果发现,前者比后者更有效,表现为粪便排出率明显更低、腹泻持续时间更短以及补液摄入量更少。

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本文引用的文献

1
Can acetate replace bicarbonate in oral rehydration solution for infantile diarrhoea?醋酸盐能否替代口服补液盐中的碳酸氢盐用于婴幼儿腹泻治疗?
Arch Dis Child. 1982 Aug;57(8):625-7. doi: 10.1136/adc.57.8.625.
2
Rice-powder electrolyte solution as oral-therapy in diarrhoea due to Vibrio cholerae and Escherichia coli.米粉电解质溶液作为霍乱弧菌和大肠杆菌所致腹泻的口服疗法。
Lancet. 1982 Jun 12;1(8285):1317-9. doi: 10.1016/s0140-6736(82)92396-0.
3
Oral rehydration in infantile diarrhoea. Controlled trial of a low sodium glucose electrolyte solution.婴儿腹泻的口服补液。低钠葡萄糖电解质溶液的对照试验。
Arch Dis Child. 1978 Apr;53(4):284-9. doi: 10.1136/adc.53.4.284.
4
Sodium-coupled solute transport of small intestine: a status report.小肠的钠偶联溶质转运:现状报告
Am J Physiol. 1977 Oct;233(4):E249-54. doi: 10.1152/ajpendo.1977.233.4.E249.
5
Evaluation of a sucrose/electrolyte solution for oral rehydration in acute infantile diarrhoea.
Lancet. 1977 Jun 25;1(8026):1333-5. doi: 10.1016/s0140-6736(77)92550-8.