首页|复方嗜酸乳杆菌联合葡萄糖酸锌对小儿轮状病毒性肠炎的治疗效果研究

复方嗜酸乳杆菌联合葡萄糖酸锌对小儿轮状病毒性肠炎的治疗效果研究

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目的:探讨小儿轮状病毒性肠炎辅助治疗中应用复方嗜酸乳杆菌联合葡萄糖酸锌治疗的效果.方法:回顾性采集2021年1月-2023年10月期间本院收治的50例应用复方嗜酸乳杆辅助治疗的轮状病毒性肠炎患儿的临床资料纳入对照组.采集同期本院 50 例采用在复方嗜酸乳杆菌基础上加用葡萄糖酸锌治疗的同病患儿的临床资料,纳入观察组.分析对比两组的临床症状改善时间、炎症因子水平、心肌损伤指标、免疫功能指标及不良反应.结果:观察组的退热时间、止吐时间、止泻时间均显著短于对照组(P<0.05).治疗 7 d,两组的血清IL-6、CRP、TNF-α水平均显著降低,且观察组的降低幅度显著大于对照组(P<0.05).治疗 7 d,两组的CK-MB、LDH均显著降低,且观察组的降低幅度显著大于对照组(P<0.05).治疗 7 d,两组的CD3+、CD4+、CD4+/CD8+均显著提高,且观察组显著高于对照组(P<0.05).两组患儿治疗期间均未出现严重不良反应.结论:复方嗜酸乳杆菌、葡萄糖酸锌二者联合应用可缩短轮状病毒性肠炎患儿症状持续时间,减轻炎症反应及心肌损伤,改善患儿免疫功能,且安全性较好.
Effect of compound Lactobacillus acidophilus combined with zinc gluconate on rotavirus enteritis in children
Objective:To investigate the effect of compound Lactobacillus acidophilus combined with zinc gluconate in the adjuvant treatment of rotavirus enteritis in children.Methods:The clinical data of 50 children with rotavirus enteritis treated with compound acidophilic milk rod from January 2021 to October 2023 were retrospectively collected and included in the control group.The clinical data of 50 children with the same disease who were treated with zinc gluconate on the basis of compound Lactobacillus acidophilus were collected and included into the observation group.The improvement time of clinical symptoms,levels of inflammatory factors,indexes of myocardial injury,indexes of immune function and adverse reactions of the two groups were analyzed and compared.Results:The antipyretic time,antiemetic time and antidiarrheal time of observation group were significantly shorter than those of control group(P<0.05).After 7 days of treatment,the serum levels of IL-6,CRP and TNF-α were significantly decreased in both groups,and the reduction range of observation group was significantly greater than that of control group(P<0.05).After 7 days of treatment,CK-MB and LDH in both groups were significantly decreased,and the reduction range in observation group was significantly greater than that in control group(P<0.05).After 7 days of treatment,CD3+,CD4+and CD4+/CD8+in both groups were significantly increased,and the observation group was significantly higher than the control group(P<0.05).No serious adverse reactions occurred during treatment in both groups.Conclusion:The combination of compound Lactobacillus acidophilus and zinc gluconate can shorten the duration of symptoms in children with rotavirus enteritis,reduce inflammation and myocardial damage,and improve the immune function of children with good safety.

ChildrenRotavirus enteritisCompound Lactobacillus acidophilusZinc gluconateInflammatory responseImmune function

郑光荣、陈凤、陈茜

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信阳市中心医院儿科,河南 信阳 464000

儿童 轮状病毒性肠炎 复方嗜酸乳杆菌 葡萄糖酸锌 炎症反应 免疫功能

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(12)