去乳糖饮食辅助治疗婴幼儿病毒性腹泻  

Curative effect of lactose-free diet in treatment of viral enteritis of infants

作　　者：常桂芬[1] 彭丽[1] 宋丽君[1] 张俐[1] 

机构地区：[1]吉林大学第一医院小儿消化呼吸科,吉林长春130021

出　　处：《中国妇幼保健》2009年第14期1987-1988,共2页Maternal and Child Health Care of China

摘　　要：目的：探讨去乳糖饮食配合常规疗法治疗婴幼儿病毒性腹泻的疗效。方法：2006年1～12月本科门急诊及住院患儿共120例病毒性腹泻，随机分为2组：去乳糖喂养组60例，采取去乳糖饮食喂养即应用去乳糖奶粉或米粥、米汤、面条等，对照组60例，继续予母乳喂养或普通婴儿配方奶粉喂养。其余抗病毒、对症、补液支持治疗2组一致。结果：去乳糖喂养组治疗后呕吐停止时间、腹泻持续时间分别为（1．63±0．56）天、（4．85±1．36）天，对照组分别为（1．92±0．62）天、（6．65±1．48）天；腹泻停止1天与腹泻停止后7-10天改为含糖饮食，腹泻复发率分别为80．0％和16．7％。对照组和去乳糖喂养组比较治疗后呕吐停止时间无差异，治疗后腹泻持续时间差异有显著性（P〈0．05）；去乳糖饮食持续时间长，腹泻复发率低。结论：应用去乳糖饮食配合治疗婴幼儿病毒性腹泻可以减轻症状，减少腹泻持续时间，预防腹泻迁延。Objective： To evaluate the effect of lactose - free diet in treatment of viral diarrhea of infants . Methods： 120 infants with viral enteritis were divided randomly into control group and study group. The 60 cases of control group were treated with antiviral drugs, modulators of gastrointestinal micro - ecosystem, rehdration, and on routine diet. The 60 cases of study group were treated with the same protocol as the control group except lactose - free diet. Results ： The duration time of vomiting and diarrhea was （ 1.63 ± 0. 56 ） d and （4. 85 ± 1.36） d in study group, and in control group were （ 1.92 ±0. 62 ） d and （ 6. 65 ± 1.48 ） d. The recurrent rate of diarrhea was 80. 0% and 16. 7% in the infants who changed lactose -free diet to routine diet after diarrhea disappeared 1 days and 7 - 10day. The duration time of diarrhea between the two groups was statistically significant while the duration of vomiting was not. The longer lactose - free diet kept, the lower recurrent rate was. Conclusion： Lactose - free diet is useful and effective for infantile viral enteritis. It can relieve the symptoms and reduce the course of the disease.

关 键 词：去乳糖饮食 病毒 腹泻 婴幼儿 

分 类 号：R725.7[医药卫生—儿科]