白蛋白辅助治疗小儿难治性腹泻疗效观察  

Observation on the curative effect of albumin in adjuvant treatment of infantile intractable diarrhea

作　　者：麦汉茂[1] 谢彦奇[1] 

机构地区：[1]广东省茂名市妇幼保健院儿科,525000

出　　处：《中国妇幼保健》2012年第2期308-309,共2页Maternal and Child Health Care of China

摘　　要：目的:观察人血白蛋白辅助治疗小儿难治性腹泻临床疗效。方法:60例符合小儿难治性腹泻诊断标准的患儿随机分为治疗组(32例)和对照组(28例),在积极常规治疗小儿难治腹泻的基础上,治疗组施用人血白蛋白0.5～1.0 g.kg-1.d-1静脉滴注,连用2～3天。结果:治疗组总有效率90.6%,对照组总有效率75.0%,两组比较差异无统计学意义(P>0.05)。治疗组平均治疗时间(5.9±2.7)天,对照组平均治疗时间(9.6±3.1)天,两组比较差异有统计学意义(P<0.01)。治疗组低蛋白血症纠正率100.0%,对照组纠正率53.3%,两组比较差异有统计学意义。结论:小儿难治性腹泻病在常规治疗的基础上施用人血白蛋白为机体提供营养,可缩短治疗时间,加快病情康复。Objective： To observe the clinical curative effect of human serum albumin in adjuvant treatment of infantile intractable diarrhea. Methods： Sixty infants who met the diagnostic criterion of infantile intractable diarrhea were divided into treatment group （32 infants） and control group （28 infants） randomly. The infants in treatment group were treated with intravenous drip of human serum albumin （0. 5 - 1.0 g . kg-1 . d -1 ） for two to three days on the basis of routine treatment of infantile intractable diarrhea. Results： The total effective rates in treatment group and control group were 90. 6% and 75.0%, respectively, there was no significant difference between the two groups （ P 〉 0.05 ） . The average treatment times in treatment group and control group were （ 5.9 ±2.7 ） days and （ 9. 6 ± 3.1 ） days, respectively, there was significant difference between the two groups （P 〈 0. 01 ） . The recovery rates of hypoproteinemia in treatment group and control group were 100. 0% and 53.3 % , respectively, there was significant difference between the two groups. Conclusion： On the basis of routine treatment of infantile intractable diarrhea, human serum albumin can provide nutrition for the infants, shorten the treatment time, and quicken rehabilitation.

关 键 词：腹泻 小儿 人血白蛋白 

分 类 号：R725.7[医药卫生—儿科]