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个体化营养干预在牛奶蛋白过敏患儿中的应用

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目的 探讨个体化营养干预对牛奶蛋白过敏(cow milk protein allergy,CMPA)患儿营养状况及生长发育的影响.方法 选取 2022 年 2 月—2023 年 2 月惠州市中心人民医院儿科收治的 60 例CMPA患儿作为研究对象.其中 30 例作为对照组给予游离氨基酸奶粉进行喂养,另外 30 例作为研究组给予个体化营养干预(包括游离氨基酸奶粉喂养、辅食回避、微量元素及维生素的合理补充).干预 6 个月后,对比 2 组患儿生长发育指标(身高、体质量、头围)、营养指标(血红蛋白、白蛋白、转铁蛋白)、血清维生素D、钙、锌水平及干预疗效.结果 干预后,研究组患儿的生长发育指标优于对照组,营养状况优于对照组,血清维生素D、钙、锌水平高于对照组(P<0.05).研究组患儿的总有效率为 100%,高于对照组的83.33%,差异有统计学意义(P<0.05).结论 对CMPA患儿给予个体化营养干预可以有效促进患儿生长发育,提升患儿营养状况,临床效果显著.
Application of Individualized Nutritional Intervention in Children With Cow Milk Protein Allergy
Objective To explore the effect of individualized nutritional intervention on the nutritional status and growth and development of children with cow milk protein allergy(CMPA).Methods A total of 60 children with CMPA admitted to department of pediatrics,Huizhou Central People's Hospital from February 2022 to February 2023 were selected as the study subjects.Among them,30 cases were given free amino acid milk powder as the control group,and the other 30 cases were given personalized nutritional intervention as the study group(including free amino acid milk powder feeding,complementary food avoidance,reasonable supplementation of trace elements and vitamins).After 6 months of intervention,the growth and development indicators(height,weight,head circumference),nutritional indicators(hemoglobin,albumin,transferrin),serum vitamin D,calcium,zinc levels,and intervention efficacy between the two groups of children were compared.Results After intervention,the growth and development indicators of the study group children were better than those of the control group,the nutritional status of the study group children was better than that of the control group,the serum vitamin D,calcium,and zinc levels of the study group children were higher than those of the control group(P<0.05).The total effective rate of the study group was 100%,higher than that of the control group(83.33%),and the difference was statistically significant(P<0.05).Conclusion Individualized nutritional intervention for children with CMPA can effectively promote their growth and development,improve their nutritional status,and have significant clinical effects.

individualized nutritional interventioncow milk protein allergygrowth and developmentnutritional indicatorsinterventional efficacytrace element

黄永生、严建华、陈淑青

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惠州市中心人民医院儿科,广东 惠州 516000

个体化营养干预 牛奶蛋白过敏 生长发育 营养指标 干预疗效 微量元素

惠州市医疗卫生领域科技计划(2022)

2022CZ010011

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(6)
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