补充锌对6个月至5岁儿童急性水样腹泻持续时间的影响

Dilruba Sultana, B. Ahmmad, A. Kashem, Md. Fazlul Kader, M. K. Das, Md. Belal Uddin, Md Sanaul Haque Mia
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摘要

背景:腹泻病是发展中国家5岁以下幼儿发病和死亡的主要原因之一。腹泻持续时间越长,发病率和死亡率就越高。补充锌可以减少腹泻的持续时间。这是一种直接、可接受、低成本和有效的治疗方法,在我国很容易负担得起。目的:本研究旨在确定补锌对急性水样腹泻持续时间的影响。材料与方法:本研究从2014年12月至2015年5月共纳入106名受试者,历时6个月。从每位患者处获得详细信息。共收治106例患者。其中,53例患者(A组)给予锌和口服补液盐(ORS), 53例患者(B组)只给予口服补液盐。然而,在随访期间,每组均有3例患者丢失。数据分析采用标准统计学方法(SPSS version 16.0)。结果:补锌组56%的患者腹泻持续时间为3天,而对照组仅为20%。大便次数在5天内逐渐减少。锌补充组的差异更为显著。p值为0.001。补锌组呕吐发生率为30%,对照组仅为20%。p值为0.5。由此可见,急性水样腹泻(AWD)患者口服锌可缩短病程并使其早日恢复,可作为治疗AWD的一种方法。结论:口服锌治疗6个月~ 5岁儿童急性水样腹泻可通过改变急性腹泻的自然病程而减少腹泻的持续时间和次数。泰姬酒店2022;36: no - 1,107 -112
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Effect of Zinc Supplementation on Duration of Acute Watery Diarrhoea in Children aged Six Months to Five Years
Background: Diarrheal disease is one of the leading causes of morbidity and mortality among young children under five years of age in developing countries. The longer duration of diarrhea increases the chance of morbidity and mortality. Zinc supplementation decreases the duration of diarrhea. It is a straightforward, acceptable, low-cost, and effective treatment that could easily be affordable in our country. Objective: This study aimed to determine the effect of zinc supplementation on the duration of acute watery diarrhea.  Materials and Methods: A total of 106 subjects were included in this study over six months, from December 2014 to May 2015. Detailed information was obtained from each patient. A total of 106 patients were taken. Among them, 53 patients (group A) were given zinc with Oral Rehydration Salts (ORS), and 53 patients (Group B) were given ORS only. However, three patients in each group were lost during follow-up. Data were analyzed by using a standard statistical method (SPSS version 16.0). Results: The duration of diarrhea was three days in 56% of patients in the zinc-supplemented group, but it was only 20% in the control group. The frequency of stool gradually decreased over five days. It was more marked in zinc supplemented group. The p-value was 0.001. Vomiting occurred in 30% of patients in zinc supplemented group, and in the control group, it was only 20%. The p-value was 0.5. So we conclude that oral zinc administration in acute watery diarrhea (AWD) decreases the duration and causes early recovery and may be considered in the management of AWD. Conclusion: Oral zinc administration in acute watery diarrhea decreases the duration and frequency of diarrhea in children aged six months to five years by changing the natural course of acute diarrheal disease. TAJ 2022; 36: No-1: 107-112
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