锌剂联合叶酸治疗小儿腹泻的临床价值
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利燕辉,男,副主任医师,主要从事小儿内科临床与研究工作。

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R 725.7

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Clinical Value of Zinc Combined with Folic Acid in the Treatment of Pediatric Diarrhea
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    摘要:

    摘 要目的:探讨锌剂联合叶酸治疗小儿腹泻的临床价值。 方法:选取 2019 年 1 月至 2020 年 9 月河源市妇幼保健院 收治的 100 例腹泻患儿为研究对象,根据其治疗方案分为观察组和对照组,各 50 例。对照组采取纠正水电解质失衡、抗感 染等常规治疗,观察组在对照组治疗的基础上,采用锌剂联合叶酸治疗,两组患儿均治疗 10 d 后进行疗效评价。比较两组 患儿腹泻停止时间、大便恢复正常时间、体温恢复正常时间、住院时间和不良反应发生率。 结果:观察组患儿的治疗总有 效率为 94.00 %,高于对照组的 80.00 %,差异具有统计学意义(P < 0.05);观察组患儿的腹泻停止时间、大便恢复正常 时间、体温恢复正常时间、住院时间均短于对照组,差异具有统计学意义(P < 0.05);两组患儿的不良反应发生率比较, 差异无统计学意义(P > 0.05)。 结论:常规治疗基础上,锌剂联合叶酸治疗可有效改善小儿腹泻症状和提高疗效,且 安全可靠。

    Abstract:

    AbstractObjective To investigate the clinical value of zinc combined with folic acid in the treatment of diarrhea in children. Methods A total of 100 children with diarrhea admitted to Maternal and Child Health Hospital of Heyuan City from January 2019 to September 2020 were selected as the research objects. According to their treatment plan, all patients were divided into observation group and control group with 50 children in each group. The control group received conventional treatment such as correction of water and electrolyte balance and anti-infection, while the observation group received zinc agent combined with folic acid on the basis of treatment in the control group. The efficacy of both groups were evaluated after 10 days of treatment. The efficacy, diarrhea stop time, stool return to normal time, temperature return to normal time, hospital stay and the incidence of adverse reactions were compared between the two groups. Results The total effective rate of observation group was 94.00 %, higher than 80.00 % of control group, the difference was statistically significant (P < 0.05); The diarrhea stop time, stool return to normal time, temperature return to normal time and hospital stay in observation group were shorter than those in control group, the differences were statistically significant (P < 0.05). There was no significant difference in the incidence of adverse reactions in two groups (P > 0.05). Conclusion On the basis of conventional treatment, zinc combined with folic acid treatment can effectively improve the symptoms of diarrhea in children and improve the efficacy, and is safe and reliable.

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  • 收稿日期:2021-06-19
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  • 在线发布日期: 2023-06-29
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