不同去乳糖奶粉喂养方案对足月新生儿母乳性腹泻的影响  

Effect of short-vs long-term non-lactose milk powder feeding on infant diarrhea

作　　者：欧阳芸 王根妹 

机构地区：[1]海南省农垦总医院儿科,海南省海口市570311

出　　处：《世界华人消化杂志》2015年第25期4125-4129,共5页World Chinese Journal of Digestology

摘　　要：目的:探讨不同去乳糖奶粉喂养方案对婴儿母乳性腹泻的影响,为其临床应用提供了可参考依据.方法:共纳入80例入住海南省农垦总医院诊断为母乳性腹泻的婴儿作为研究对象,采用随机数字法平均分为观察组与对照组,分别给予短期去乳糖奶粉喂养及长期去乳糖奶粉喂养.随访2 mo观察两组患儿胃肠道耐受、体质量增长等情况.结果:观察组与对照组总有效率分别为97.5%、95.0%,差异无统计学意义.观察组排便次数、呕吐及腹胀比例均明显低于对照组(P<0.05).观察组脂肪质量(total body f a t,T B F)、体脂百分含量(脂肪质量占体质量的百分比,F%)及白蛋白水平均高于对照组,而瘦体质量[非脂肪组织(lean body mass,LBM)]低于对照组(P<0.05).结论:母乳性腹泻的婴儿,采用短期去乳糖奶粉喂养可以减少患儿胃肠道症状发生,且符合婴儿生长发育特点,值得临床推广应用.AIM： To assess the effect of shortvs long-term non-lactose milk powder feeding on neonatal diarrhea. METHODS Eighty infants with diarrhea were included and divided into an observation group and a control group. The observation group was given short-term non-lactose milk powder feeding, and the control group was given long-term non-lactose milk powder feeding. The gastrointestinal tolerance and weight gain were recorded and compared between the two groups. RESULTS： The total effectiveness in the observation group was higher than that in the control group, although there was no statistically significant difference （97.5% vs 95.0%, P 〉 0.05）. Stool frequency and the percentages of patients with vomiting and abdominal distension were significantly lower in the observation group than in the control group （P 〈 0.05）. The observation group had significantly greater total body fat （TBF） and percentage of body fat （F%） but significantly decreased lean body mass （LBM） vs the control group （P 〈 0.05）. CONCLUSION： Short-term non-lactose milk powder feeding can reduce the incidence of gastrointestinal symptoms and conforms to the infant growth characteristics.

关 键 词：去乳糖奶粉 足月 婴儿 母乳性腹泻 

分 类 号：R722.1[医药卫生—儿科]