轮状病毒肠炎患儿乳糖不耐受与肠炎转归的关系及其影响康复的相关因素分析

发布时间：2018-03-01 10:00

本文关键词： 轮状病毒肠炎乳糖不耐受康复　出处：《中华医院感染学杂志》2017年11期 　论文类型：期刊论文

【摘要】：目的探讨轮状病毒肠炎患儿乳糖不耐受与轮状病毒肠炎转归的关系,并分析影响乳糖不耐受康复的相关因素。方法选择医院2015年1-12月收治163例轮状病毒肠炎患儿为研究对象,根据粪便还原糖检测结果分为乳糖不耐受组和对照组(非乳糖不耐受组),乳糖不耐受组分为康复组和未康复组,收集所有患儿临床资料。结果乳糖不耐受组和对照组脱水发生率和腹泻次数对比差异无统计学意义;治疗前和治疗后,乳糖不耐受组和对照组之间腹泻次数对比差异无统计学意义;乳糖不耐受组和对照组治疗后腹泻次数(3.32±2.78、2.98±3.12)均低于治疗前(7.86±2.87、7.34±2.93),差异有统计学意义(P0.05);乳糖不耐受组和对照组腹泻病程和住院天数比较差异无统计学意义;康复组患儿腹泻持续时间(6.67±0.89)d低于未康复组(7.72±1.24)d,康复组患儿轻度腹泻、无肠道排毒比例均高于未康复组,差异有统计学意义(P0.05);肠道排毒是轮状病毒肠炎乳糖不耐受患儿康复的独立影响因素(P0.05)。结论轮状病毒肠炎患儿乳糖不耐受不影响轮状病毒肠炎的转归,肠道排毒是轮状病毒肠炎乳糖不耐受患儿康复的独立影响因素。
[Abstract]:Objective to investigate the rotavirus enteritis relationship between lactose intolerance and outcomes of rotavirus enteritis, and analyze the factors of lactose intolerance rehabilitation. Methods the hospital in 2015 1-12 months a total of 163 cases of rotavirus enteritis in children as the research object, according to the test results into fecal sugar lactose intolerance group and control group (non lactose intolerance group), lactose intolerance were divided into rehabilitation group and the rehabilitation group, all patients clinical data collected. The results of lactose intolerance group and control group differences in the incidence and frequency of diarrhea dehydration compared with no statistical significance; before and after the treatment, there was no significant difference between the frequency of diarrhea lactose intolerance group and the control group; lactose intolerance group and control group after treatment, the frequency of diarrhea (3.32 + 2.78,2.98 + 3.12) were lower than those before treatment (7.86 + 2.87,7.34 + 2.93), the difference was statistically significant (P0.05); Lactose Intolerance group and control group, the duration of diarrhea and hospitalization was no significant difference between the duration of diarrhea; rehabilitation group (6.67 + 0.89) d lower than non rehabilitation group (7.72 + 1.24) d, the rehabilitation group of children with mild diarrhea, no intestinal detoxification was higher than non rehabilitation group, the difference was statistically significant (P0.05); intestinal detoxification are independent risk factors of rotavirus enteritis in children with lactose intolerance (P0.05). Conclusion the rehabilitation of children with rotavirus enteritis with lactose intolerance does not affect the outcome of rotavirus enteritis, intestinal detoxification factors of rotavirus enteritis of lactose intolerance is affected by the rehabilitation of children with independent.

【作者单位】：缙云县妇幼保健院儿保科;丽水市中心医院小儿科;缙云县人民医院小儿科;
【基金】：浙江省医药卫生一般研究计划基金资助项目(2015KYB422)
【分类号】：R725.1

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