食物不耐受在小儿消化系统疾病发病中的作用  

The Role of Food Intolerance in the Pathogenesis of Digestive System Diseases in Children

作　　者：黄荣[1] HUANG Rong(Pediatrics Department,People's Hospital of Tacheng District,Tacheng Xinjiang 834700,China)

机构地区：[1]新疆塔城地区人民医院儿科

出　　处：《中国继续医学教育》2020年第6期93-96,共4页China Continuing Medical Education

摘　　要：目的分析食物不耐受在小儿消化系统疾病发病中的作用。方法选取2017年1月-2018年6月75例消化系统疾病患儿作为试验组,健康体检儿童70例作为对照组,比较2组血清对14种食物的特异性IgG抗体。结果试验组IgG阳性率前3位是牛奶、鸡蛋、小麦;对照组IgG阳性率前3位是牛奶、鸡蛋、虾。对比可知,试验组患儿牛奶、鸡蛋IgG阳性检出率明显高于对照组,虾、蟹IgG阳性检出率明显低于对照组,差异有统计学意义(P<0.05)。干预1周、4周后,试验组患儿临床症状有效率为72.0%、94.7%,差异有统计学意义(P<0.05)。结论食物不耐受和小儿消化系统疾病密切相关,牛奶、鸡蛋是主要过敏原,提示医务人员加强饮食干预,改善临床治疗效果。Objective To analyze the role of food intolerance in the pathogenesis of digestive system diseases in children.Methods 75 children with digestive system diseases from January 2017 to June 2018 were selected as the experimental group and 70 healthy children as the control group.The specific IgG antibodies to 14 kinds of food in the serum of the two groups were compared.Results The first three IgG positive rates in the experimental group were milk,eggs and wheat,while the first three IgG positive rates in the control group were milk,eggs and shrimp.Compared with the control group,the positive rate of IgG in milk,eggs in the experimental group was significantly higher than that in the control group,shrimp and crab was significantly lower than that in the control group(P<0.05).After 1 week and 4 weeks of intervention,the effective rate of clinical symptoms was 72.0%and 94.7%.The difference was statistically significant(P<0.05).Conclusion Food intolerance is closely related to digestive system diseases in children.Milk and eggs are the main allergens,suggesting that medical staff should strengthen dietary intervention to improve clinical therapeutic effect.

关 键 词：消化系统疾病 食物不耐受 作用 过敏原 IGG 饮食干预 

分 类 号：R541[医药卫生—心血管疾病]