Alemnji G A, Thomas K D, Durosinmi M A, Taiwo O, Fakunle J B
Department of Chemical Pathology, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria.
East Afr Med J. 1995 Sep;72(9):605-8.
Haematological parameters, total serum iron, and total iron binding capacity (TIBC) concentrations were estimated in twenty protein energy malnourished (PEM) children, five kwashiorkor (K), five marasmus (M), five marasmic-kwashiorkor (M-K), and five undernourished (U) aged between one and five years on admission and after 18 days hospitalisation at Obafemi Awolowo University Teaching Hospital Complex. The Hospital diet for K and M-K consisted of 8% protein and 802 calories per litre while that for M and U consisted of 30% protein and 1350 calories per litre. After the period of 18 days of rehabilitation there was no significant (p > 0.05) difference (Student's t-test) in the weight for age. None of the haematological parameters was significantly different after rehabilitation for all the four types of PEM. Of the four types only Kwashiorkor with mean serum iron values of 15.6 +/- 1.51 micrograms/100 ml and 21.17 +/- 0.33 micrograms/100 ml on admission and after rehabilitation respectively was significantly (P < 0.05) different. More attention by the OAUTHC authorities needs to be paid to the management, feeding and diet given to these children so that there will be a greater and more rapid improvement in their rehabilitation.
在奥巴费米·阿沃洛沃大学教学医院综合院区，对20名蛋白质能量营养不良（PEM）儿童进行了血液学参数、血清总铁和总铁结合力（TIBC）浓度的评估。这些儿童年龄在1至5岁之间，其中5名患夸希奥科病（K）、5名患消瘦症（M）、5名患夸希奥科 - 消瘦混合型（M - K）、5名营养不良（U）。评估时间为入院时以及住院18天后。K型和M - K型儿童的医院饮食为每升含8%蛋白质和802卡路里，而M型和U型儿童的饮食为每升含30%蛋白质和1350卡路里。经过18天的康复期后，年龄别体重无显著差异（p > 0.05，学生t检验）。对于所有四种类型的PEM，康复后血液学参数均无显著差异。在这四种类型中，只有夸希奥科病型儿童入院时和康复后的平均血清铁值分别为15.6 +/- 1.51微克/100毫升和21.17 +/- 0.33微克/100毫升，存在显著差异（P < 0.05）。奥巴费米·阿沃洛沃大学教学医院综合院区的管理部门需要更加关注这些儿童的管理、喂养和饮食，以便他们在康复过程中能有更大、更快的改善。
