摘要
目的将乳母饮食回避用于6个月以下牛奶蛋白过敏致迁延性慢性腹泻病婴幼儿中,分析其对婴幼儿临床症状的改善作用。方法选取2017年1月-2019年2月收治的64例6个月以下迁延性慢性腹泻病婴幼儿进行研究,根据检查结果分为研究组(n=30,牛奶蛋白过敏)与参照组(n=34,无牛奶蛋白过敏),所有患儿均行常规药物治疗,研究组严格执行饮食回避,回避期间改为游离氨基酸配方奶喂养,参照组应用普通配方奶喂养,对两组干预效果进行比较。结果两组干预前、干预后皮肤、消化道、呼吸道相关症状,差异无统计学意义(P<0.05),两组干预后各项症状与干预前相比,明显更少(P<0.05);研究组总有效率为93.33%,与参照组64.71%相比,相对更高(χ^2=7.643,P<0.05);两组干预前体重差异无统计学意义(P>0.05),两组干预后体重均有所增长,研究组干预后体重与干预前及参照组相比,相对更重(P<0.05)。结论乳母饮食回避可有效改善6个月以下牛奶蛋白过敏致迁延性慢性腹泻病婴幼儿的临床症状,回避期间应用游离氨基酸配方奶喂养可有效增强饮食干预效果,促进婴幼儿生长发育,值得应用。
Objective To avoid breastfeeding diet in infants and young children with chronic diarrhea caused by milk protein allergy and analyze its effect on improving the clinical symptoms of infants and young children.Methods A total of 64 infants and young children with persistent chronic diarrhea under 6 months who were admitted from January 2017 to February 2019 were selected for the study.According to the examination results,they were divided into study group(n=30,milk protein allergy)and reference group(n=34,no milk protein allergy),all children were treated with conventional drugs.The study group strictly implemented dietary avoidance.Dur-ing the avoidance period,it was changed to free amino acid formula milk.The control group was fed with ordinary formula milk.The intervention effects of the two groups were compared.Results There were no significant differences in skin,digestive tract,and respi-ratory tract related symptoms between the two groups before and after intervention(P<0.05).The symptoms of the two groups after intervention were significantly less than those before intervention(P<0.05);study group The total effective rate was 93.33%,which was relatively higher compared to 64.71%in the reference group(χ^2=7.643,P<0.05);there was no significant difference in weight between the two groups before intervention(P>0.05),and the weight after intervention in both groups Increase,the weight of the study group after intervention was relatively heavier than before and the reference group(P<0.05).Conclusion Diet avoidance of nursing mothers can effectively improve the clinical symptoms of chronic diarrhea caused by milk protein allergy in infants under 6 months.Free amino acid formula milk feeding during avoidance can effectively enhance the effect of diet intervention and promote the growth and devel-opment of infants and young children.It is worthy of application.
作者
赵彤
杨慧敏
赵宁
ZHAO Tong;YANG Hui-min;ZHAO Ning(Shenzhen Futian District Maternal and Child Health Hospital,Shenzhen,Guangdong Province,518042 China)
出处
《世界复合医学》
2020年第8期74-76,共3页
World Journal of Complex Medicine
关键词
乳母饮食回避
牛奶蛋白过敏
迁延性慢性腹泻病
Avoidance of lactating mother’s diet
Milk protein allergy
Persistent chronic diarrhea
