首页|婴幼儿牛奶蛋白过敏的营养状况及益生菌治疗的效果分析

婴幼儿牛奶蛋白过敏的营养状况及益生菌治疗的效果分析

扫码查看
目的 探讨婴幼儿牛奶蛋白过敏的营养状况,并分析益生菌的治疗效果。方法 在2021年3月-2022年3月期间共招募郑州市妇幼保健院收治的120例牛奶蛋白过敏婴幼儿作为观察对象,收集其临床资料进行回顾性分析。根据其喂养方式将其分为对照组(深度水解蛋白配方奶喂养,n=68)和益生菌组(深度水解蛋白配方奶+益生菌,n=52)。调查患儿的营养状况,并对临床疗效、治疗前后生长发育指标、过敏指标、炎症因子水平及临床表现改善情况进行比较。结果 本研究中患儿的营养不良发生率为31。67%。益生菌组治疗有效率更高,差异有统计学意义(P<0。05);经治疗后,益生菌组血清白细胞介素-6(interleukin-6,IL-6)、肿瘤坏死因子-α(tumor necrosis factor-alpha,TNF-α)、嗜酸性粒细胞(eosinophil,EOS)和免疫球蛋白 E(immunoglobulin E,IgE)水平更低,身高、体质量及体重指数(bodymass index,BMI)值更高,差异有统计学意义(均P<0。05)。益生菌组患儿呕吐、拒奶等临床表现改善效果明显优于对照组,差异有统计学意义(均P<0。05)。结论 存在牛奶蛋白过敏的婴幼儿发生营养不良的风险较大,益生菌治疗可有效改善其临床表现、过敏指标和生长发育指标,并下调其炎症因子水平,值得推广。
Nutritional status of milk protein allergy in infants and young children and analysis of effect of probiotic treatment
Objective To explore the nutritional status of milk protein allergy in infants and young children,and to ana-lyse the therapeutic effect of probiotics.Methods From March 2021 to March 2022 totally 120 infants with milk protein allergy were recruited as observation objects,and their clinical data were collected and analyzed retrospectively.Accord-ing to their feeding methods,they were divided into control group(deeply hydrolyzed protein formula,n=68)and probi-otic group(deeply hydrolyzed protein formula and probiotics,n=52).To investigate the nutritional status of children,and compare the clinical efficacy,growth and development indicators,allergy indicators,inflammatory factors and clini-cal manifestations before and after treatment.Results The incidence of malnutrition in the children in this study was 31.67%.The effective rate of treatment was higher in the probiotic group(P<0.05);after treatment,the probiotic group had lower levels of serum IL-6,TNF-α,EOS and IgE,and higher height,body mass and BMI values(all P<0.05).The improvement of clinical manifestations such as vomiting and milk refusal in the probiotic group was sig-nificantly better than that in the control group(all P<0.05).Conclusion Infants and children with milk protein allergy are at greater risk of malnutrition,and probiotic treatment can effectively improve their clinical manifestations,allergy and growth indicators,and down-regulate the level of inflammatory factors,which is worth promoting.

Infants and young childrenMilk protein allergyNutritional statusProbiotics treatmentEffect analysis

姜凯、崔芝利、王洁翡

展开 >

郑州市妇幼保健院儿科,郑州 450000

婴幼儿 牛奶蛋白过敏 营养状况 益生菌治疗 效果分析

2024

医药论坛杂志
中华预防医学会,河南省医学情报研究所

医药论坛杂志

影响因子:0.47
ISSN:1672-3422
年,卷(期):2024.45(23)