Objective To study the clinical diagnosis and treatment of milk protein allergy in children and infants. Methods A total of 68 patients with milk protein hypersensitivity were randomly selected from March 2014 to March 2015,and the clinical symptoms,avoidance test and treatment were analyzed. Results The main clinical symptoms of 68 cases of milk protein allergy were vomiting,intestinal spasm,abdominal distension,sneezing,facial edema,atopic eczema,etc.Take food avoidance methods in children with symptoms somewhat relieved or disappeared,the parents consent to provocation test positive,to take after amino acid formula powder feeding symptoms again improved or disappeared,body weight slowly recovering,nutritional status improved. Conclusions For children with milk protein hypersensitivity,the clinical symptoms of food stimulation test and food avoidance method can be used.During the food avoidance,the use of amino acid formula powder feeding not only can meet the needs of infants and infants,but also can effectively remove the allergic source.
Key words
infant /
milk protein hypersensitivity /
diagnosis and treatment
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References
[1] 尚利宏,徐发林,宋娟.新生儿牛奶蛋白过敏症36例诊治分析[J].中华围产医学杂志,2013,16(02):102-104.
[2] 秦侯平.0~4月小婴儿牛奶蛋白过敏症的早期识别及干预[J].医药前沿,2014,10(30):296-297.
[3] 庞戈红,熊寿贵.游离氨基酸配方粉治疗牛奶蛋白过敏婴儿的临床研究[J].中国保健营养:中旬刊,2012,06(2):57-58.
[4] 崔玉涛.儿童牛奶蛋白过敏的诊断方法和治疗原则--欧洲儿科胃肠、肝病及营养学会胃肠专业委员会应用指南[J].中国儿童保健杂志,2013,21(02):220-222.
[5] 郑玉灿,金玉,李玫,林谦,郭红梅.游离氨基酸配方奶粉在牛奶蛋白过敏患儿中的应用[J].实用儿科临床杂志,2012,27(19):1488-1490.
[6] Nocerino R,Granata V,Di Costanzo M,et al.Atopy patchtests are useful to predict oral tolerance in children with-gastrointestinal symptoms related to non-IgE-mediatedcow's milk allergy[J].Allergy,2013,01(07):36-39.
[7] Koletzko S,Niggemann B,Arato A,et al.Diagnostic approachand management of cow's-milk protein allergy in infants and children:ESPGHAN GI Committee Practical Guidelines[S].JPGN.2012.
[8] De Greef E,Hauser B,Devreker T,et al.Diagnosis and management of cows' milk protein allergy in infants[J].World J Pediatr,2012,11(04):85-86.
[9] Cho HN,Hong S,Lee SH.Nutritional status according to sensitized food allergens in children with atopic dermatitis[J].Allergy Asthma Immunol Res,2011,3(01):22-25.
[10] Vandenplas Y,Plaskie K.Safety and adequacy of an optimized formula for pediatric patients with cow's milk-sensitive enteropathy[J].Minerva Pediatrica ,2010,62(04):210-213.