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目的通过对156例慢性消化系统疾病患儿食物不耐受的测定及儿童相关情况的问卷调查,探讨儿童食物不耐受的相关因素。方法采用ELISA法检测156例患儿血清中14种食物特异性IgG抗体水平,对检测结果进行分析,并探讨与年龄、性别、喂养方式的关系,对检测阳性的患者予以停用不耐受的食物,同时据是否加用双歧活菌辅助治疗分为两组,观察症状改善情况。结果 156例患儿中,食物不耐受检测阳性率为85.90%,对两种以上食物不耐受在所研究患儿中占50%;生后4月内的喂养方式以混合喂养居多;男性所占比例高于女性。对检测阳性患儿嘱禁食相关食物同时予以双歧活菌制剂辅助治疗,症状改善可明显优于单禁食组。结论食物不耐受是引起儿童慢性消化系统疾病的因素之一,不耐受的食物是经常接触的食物中的一种或两种甚至多种,以鸡蛋、牛奶为主,其发生与年龄、性别、饮食结构、生后早期的喂养方式等多种因素有关,对食物不耐受患儿通过禁食致敏食物,同时予以双歧活菌制剂辅助治疗,可明显改善症状。
Objective To investigate the food-related factors of children’s food intolerance by measuring the food intolerance of 156 children with chronic digestive diseases and the questionnaire about children’s related situation. Methods ELISA method was used to detect the serum levels of 14 food-specific IgG antibodies in 156 children. The results of the tests were analyzed and the relationship with age, sex and feeding pattern was explored. Food, at the same time according to whether to add bifidobacterium auxiliary treatment is divided into two groups to observe the improvement of symptoms. Results Among 156 children, the positive rate of food intolerance was 85.90%, and intolerance to two or more kinds of food accounted for 50% of the children under study. In April, the mode of feeding was mostly mixed feeding; the male The proportion is higher than that of women. Positive test for children with fasting food at the same time to be bifidobacterium agent preparation adjuvant therapy, symptom improvement can be significantly better than the single fasting group. Conclusions Food intolerance is one of the factors that cause chronic digestive diseases in children. Incontinence foods are one or two or even more kinds of foods that are often exposed to eggs and milk, and their occurrence is related to their age, Sex, dietary structure, early postnatal feeding and other factors related to the food intolerance of children through fasting sensitized food, while the bifidobacterium agent assisted treatment, can significantly improve the symptoms.