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目的:探讨无乳糖奶粉的喂养方法治疗非感染性腹泻患儿的临床疗效。方法:将2010年1月~2013年12月在我院接受治疗的90例非感染性腹泻患儿,按照随机原则,平均分为3组。A组患儿仅接受常规治疗,B组患儿在A组患儿治疗措施基础上,给予粥类等无糖饮食,但并不添加奶粉。C组患儿在A组患儿治疗措施基础上,且给予粥类等无糖饮食,并应用圣元奶粉公司生产的腹泻专用奶粉(无乳糖奶粉),加以辅助治疗。连续治疗7d后,对3组患儿的临床疗效加以观察,包括计算总有效率,并统计平均治愈时间。结果:3组患儿经治疗7d后,A组患儿治愈18例,有效5例,无效7例,总有效率为76.67%。B组患儿治愈9例,有效16例,无效5例,总有效率为83.33%。C组患儿治愈25例,有效4例,无效1例,总有效率为96.66%。A组患儿平均治愈时间为(8.2±1.8)d,B组患儿平均治愈时间为(7.5±2.2)d,C组患儿平均治愈时间为(4.3±1.6)d。经比较,3组患儿在平均治愈时间和总有效率方面,差异具有显著性(P<0.05),且C组明显优于A组和B组。结论:无乳糖奶粉的喂养方法可有效治疗非感染性腹泻患儿,能加速患儿痊愈康复,临床治愈率高,值得临床广泛推广应用。
Objective: To investigate the clinical efficacy of lactose-free milk powder feeding in children with non-infectious diarrhea. Methods: Ninety non-infectious diarrhea children treated in our hospital from January 2010 to December 2013 were randomly divided into three groups according to the randomized principle. A group of children received only conventional treatment, B group of children in the A group of children on the basis of treatment measures, to give porridge and other sugar-free diet, but did not add milk powder. Children in group C were given adjuvant therapy on the basis of the treatment measures in group A and on the confectionery-free diet such as congee. The diarrhea-specific milk powder (lactose-free milk powder) produced by Shengyuan Milk Powder Company was used for adjuvant therapy. After continuous treatment for 7 days, the clinical efficacy of the three groups was observed, including the calculation of the total effective rate and the average cure time. Results: After 7 days of treatment, 18 children in group A were cured, 5 were effective and 7 were ineffective. The total effective rate was 76.67%. In group B, 9 cases were cured, 16 cases were effective and 5 cases were ineffective. The total effective rate was 83.33%. In group C, 25 cases were cured, 4 cases were effective and 1 case was ineffective. The total effective rate was 96.66%. The average healing time in group A was (8.2 ± 1.8) days, in group B was (7.5 ± 2.2) days, in group C was (4.3 ± 1.6) days. By comparison, the average recovery time and total effective rate in three groups of children, the difference was significant (P <0.05), and C group was significantly better than the A and B group. Conclusion: The lactose-free milk powder feeding method can effectively treat children with non-infectious diarrhea, can accelerate the recovery of children, the clinical cure rate is high, it is worth widely clinical application.