婴幼儿轮状病毒性肠炎与继发性乳糖不耐受的临床关系  

The Clinical Reativeress of Relationship between Rotavirus Enteritis and Secondary Lactose Intolerance in Children

作　　者：招钜泉[1] 张强英[1] 余咏文[1] 

机构地区：[1]佛山市第一人民医院,广东佛山528000

出　　处：《国际医药卫生导报》2004年第18期138-139,共2页International Medicine and Health Guidance News

摘　　要：目的探讨轮状病毒性肠炎与继发性乳糖不耐受的关系。方法对200例轮状病毒性肠炎患儿用醋酸铅加氢氧化氨法检测粪乳糖、PH值,粪乳糖≥++、PH<5.5,为乳糖不耐受症,将其分治疗Ⅰ组及治疗Ⅱ组,粪乳糖阴性为对照组。结果200例轮状病毒性肠炎中粪乳糖≥++、PH<5.5的有138例,其中年龄≤6月32例,≤1岁68例,≤2岁36例,≤3岁2例。治疗Ⅰ组及治疗Ⅱ组临床症状较对照组重,且差异明显(P<0.01),治疗Ⅰ组与对照组疗效无明显差异(P>0.05),治疗Ⅱ组与对照组疗效比较差异明显(P<0.01)。结论轮状病毒性肠炎容易导致继发乳糖不耐受症,且年龄越小越容易发生,去乳糖饮食治疗轮状病毒性肠炎继发乳糖不耐受症疗效显著,对轮状病毒性肠炎患儿应检测粪乳糖及PH,及早发现继发性乳糖不耐受症。Objective To investigate the relationship between rotavirus enteritis and secondarylactose intolerance.Methods Examine feces lactose,PH in two hundreds patients with rotavirus enteritiswith the way of lead acetate with aqueon ammonia,feces lactose≥++,PH<5.5 are diagnosed secondarylactose intolerance.Divided groupⅠand groupⅡ.Patients of feces lactose<++、PH<5.5 is called thecontrol group.Results 138 cases of 200 cases are diagnosed secondary lactose intolerance,age≤6-month32cases, ≤1-year 68 cases, ≤2-year 36 cases, ≤3-year 2 cases.There was a significant in clinicalsymptoms between group or groupⅡand the control group(P<0.01).There was no difference in therapeuticeffect of disease between group and the control group(P>0.05),There was a significant in therapeuticeffect of disease between the group Ⅱ and the control group(P<0.01).Conclusions It was noticed thatthere was a higher incidence of secondary lactose intolerance in the children with rotavirus enteritis.The younger the infants were,the higher the incidence of secondary lactose intolerance would be.Non-lactose diet is a effective therapy,it is suggested that every child with rotavirus enteritis should vescreened for secondary lactose and should be treated with non-lactose diet,once he or she is identifiedto have secondary lactose.

关 键 词：婴幼儿 轮状病毒性肠炎 继发性 乳糖不耐受 

分 类 号：R725.1[医药卫生—儿科]