苹果与锌治疗婴幼儿持续性腹泻疗效观察.docVIP

苹果与锌治疗婴幼儿持续性腹泻疗效观察 　　中图分类号：R725.7文献标识码：A文章编号：1814-8824(2008)-5-0012-02 　　摘要：目的 评价苹果与锌合用治疗婴幼儿持续性腹泻的临床疗效。方法 4年社区门诊2岁以下持续性腹泻儿童6339例，男童，4321例，女童2018例，按腹泻治疗指南和2006年儿科学教材的腹泻治疗为标准。分为Ⅲ组，对照予以常规治疗；治疗Ⅱ组常规治疗加补锌；治疗Ⅱ组常规治疗补锌加苹果。结果 对照组显效率52.7%，总有效率77.7%；治疗Ⅰ组显效率58.3%，总有效率90.3%；治疗Ⅱ组显效率63.2%。总有效率92.3%。结论 苹果治疗婴幼儿持续性腹泻安全、有效、经济。因此，建议婴幼儿持续性腹泻在常规治疗基础上补锌，同时添加苹果服用疗效更佳。 　　关键词 苹果 锌 持续性腹泻 婴幼儿 　　 　　The clinical efficacy of apple and zine in the treatment of persistent diarrhea of infant.Shen Hong.The people’s hospital of Tongliang county，402560.Chongqing，China. 　　【Abstract】Objective To evaluate the clinical efficacy of combination of apple and zinc on persistent diarrhea of infant.Methods A total of 6339 children(y≤2 years old)which including 4321 boys and 2018 girls from community clinic service with persistent diarrhea were randomized to separate into 3 groups according to the standard of pediatrics diarrhed treated compass and teaching.materials printed in 2006 The compare group was received common treatment.the treatment group 1 was received common treatment and zinc；the treatment group 2 was received common treatment，zinc and apples.Results The results rate of the compare group was 52.1% and the total effectiv rate was 77.7%；the results rate of treatment group 1 was 58.3% and the total effective rate was 90.3%；Coclusins the results：rate of treatment group 2 was 63.2%and the total effective rate was92.3%.Conclusions The apple was safe，effective and economic while administrated in the treatment of persistent diarrhea of infant.It suggests that common，non treatment combination of apple and zinc will acquire better curative effect than using the common treatment only in the treatment of persistent diarrhea of infant. 　　【Key words】Apple；zine；Peristent diarred；Infant. 　　 　　腹泻病是一组多病因引起的以腹泻症状为主的临床综合征，腹泻造成的两大危险是死亡及营养不良，全球每年死于腹泻的儿童仍有200万之多，发展中国家每年死于腹泻的儿童占15%(呼吸道占18%)。我国腹泻病防治方案和儿科教科书将腹泻按病程分为急性腹泻；迁延性腹泻、慢性腹泻。急性腹泻病程42周，迁廷性腹泻病程超过2周，但不超过2月，慢性腹泻指病程超过2月，甚至数年者。国处教科书和文献大多将腹泻持续2周者一起论述，称为慢性腹泻，或持续性腹泻。相当于