Study the effect of lactase on infantile diarrhea
- REN Li-hong1, YANG Shu-fen2, SUN Xiao-han1
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Abstract
【Objective】 To observe the incidence of secondary lactose intolerance (SLI) of diarrhea children, observing the efficacy of treatment after giving medical lactase import agents and lactose-free milk powder intervention. 【Method】 To detect the urine of diarrhea children by the urinary galactose kit, children with positive results were randomly assigned to three groups, lactose-free milk group, without lactose-free milk group and control group, to compare the curative effect and course of the three groups. 【Results】 The incidence of diarrhea secondary lactose intolerance (SLI) was related with age, the younger ones had the higher incidence; various age groups were significantly different(P<0.01); SLI was infection-related, and rotavirus infection group was higher than other groups(P<0.005); there were differences of the total effective rate to three treatment groups(P<0.005), and there was no difference between the first two groups; the course of the third group was different(P<0.01), and there was no difference between the first two groups. 【Conclusions】 The younger ones have higher incidence of SLI.The incidence of rotavirus infection is higher than other causes of morbidity; imported medical lactase and lactose-free milk powder formulations may enhance the effectiveness of treatment to shorten the course of disease,but to supply lactase is the fundamental method to solve the question of SLI.
Key words
diarrhea / lactose intolerance / lactase preparation / free-lactose milk powder
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References
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[3] 黄永坤,杨娟.乳糖不耐受症及其治疗[J].实用儿科临床杂志,2010,25(7):463-465.
[4] 岳玉林,戈建军.腹泻婴幼儿尿半乳糖检测结果分析[J].中国当代儿科杂志,2008,10(2):248-251.
[5] 张艳玲,陈晓波,刘凤英,等.轮状病毒肠炎患儿尿半乳糖测定的意义[J].实用儿科临床杂志,2008,23(7):515-531.
[6] 胡彬,张林,黄彩芝,等.长沙地区儿童乳糖不耐受调查[J].医学临床研究,2008,25(3):476-479.
[7] 中华人民共和国卫生部卫防急发(93)第37号文.中国腹泻病诊断治疗方案[J].中国实用儿科杂志,1998,13(6):381-384.
[8] Mao M, Yu T, Xiong Y, et al. Effect of a lactose-free milk formula supplemented with bifidobacteria and streptococci on the recovery from acute diarrhea[J]. Asia Pac J Clin Nutr,2008,17(1):30-34.
[9] 张素玲,李一欣.鱼腥草、大剂量维生素C治疗轮状病毒性肠炎21例[J].实用儿科临床杂志,2004,19(2):153-154.
[10] 戈萱,戈建军.小儿乳糖不耐受症及其实验室诊断[J].中国儿童保健杂志,2008,16(1):70-71.
[11] Swallow DM. Genetics of lactase persistence and lactose intolerance[J]. Annu Rev Genet,2003,37:197-219.
[12] 王宝西.小儿慢性腹泻并乳糖不耐受及其治疗对策[J].实用儿科临床杂志,2006,21(19):1286-1287.
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