尼日尔马拉迪地区医院对0至6个月营养不良儿童的特殊病例进行营养康复治疗

Issoufou Amadou, Mazou Hamadou, Oumarou Samna Soumana
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摘要

营养不良是由于一种或多种必需营养素相对或绝对缺乏或过量而导致的一种病理状态,无论这种状态是否在临床上表现出来,还是只能通过生物学、人体测量学或生理学分析来检测。本研究采用横断面调查方法,对2022年5月23日至7月23日在马拉迪地区医院强化营养教育和康复中心住院的60名母亲及其0-6个月大的孩子(特殊病例)进行代表性样本进行调查。这项研究的主要目的是评价该服务中特殊情况下儿童的营养康复情况。收集了60名患有严重急性营养不良的儿童的数据。向营养不良儿童的母亲发了一份调查表。医院记录还用于获取人体测量参数信息,从而确定所研究儿童的营养状况。研究结果表明,0-3月龄儿童营养不良最严重,是体重/身高比低于- 3 z-score的特殊情况。他们最常见的症状是腹泻,占41.6%,发烧占21.7%。这些孩子的父母通常没有受过教育,资源有限。还可以指出的是,这些营养不良的儿童大多来自实行混合母乳喂养的母亲。为了做到这一点,在治疗期间,大多数患者必须使用稀释的F100作为饮食类型和用杯子喂养的方式。采用补充哺乳技术治疗特殊病例。总之,该研究证实,社会经济和环境因素在世界这一地区持续的营养不良中起着非常重要的作用。
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Nutritional rehabilitation of special cases of malnourished children aged 0 to 6 months at the Maradi Regional Hospital, Niger
Malnutrition is a pathological state resulting from the relative or absolute deficiency or excess of one or more essential nutrients, whether this state manifests itself clinically, or whether detectable only by biological, anthropometric, or physiological analyses. This study uses a cross-sectional survey conducted on a representative sample of 60 mothers with their children aged 0–6 months (special cases) admitted at the Intensive Nutritional Education and Recovery Center of the Maradi Regional Hospital from May 23 to July 23, 2022. The main objective of this study is to evaluate the nutritional rehabilitation of children in special cases within this service. Data collection was done on 60 children with severe acute malnutrition. A questionnaire was addressed to the mothers of malnourished children. The hospital records were also used to access information on the anthropometric parameters, thus determining the nutritional status of the children studied. The study results show that children aged 0–3 months are the most affected by malnutrition and are special cases with a weight/height ratio below minus 3 z-score. They most often suffer from diarrhea with a rate of 41.6% and fever with a rate of 21.7%. These children generally come from parents with no schooling and with limited resources. It can also be noted that most of these malnourished children come from mothers who practiced mixed breastfeeding. To get done, during treatment, the majority of patients have to use the diluted F100 as the type of diet and a mode of feeding with the cup. The supplementary suckling technique was applied to get heal the special cases in need. In conclusion, the study affirms that socioeconomic and environmental factors play a very important role in the persistence of malnutrition in this part of the world.
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