首页|聚乙二醇对婴幼儿功能性便秘的改善及生长发育的影响

聚乙二醇对婴幼儿功能性便秘的改善及生长发育的影响

Effect of polyethylene glycol on functional constipation,growth and development in infants

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目的 探讨高剂量聚乙二醇(polyethylene glycol,PEG)对婴幼儿功能性便秘(functional consitipation,FC)的改善及对患儿生长发育的影响.方法 选取2022年10月—2023年7月西宁市第一人民医院收治的FC患儿130例,按照随机数字表法分为参照组(65例)和研究组(65例),参照组给予乳果糖口服溶液进行治疗,研究组给予高剂量PEG进行治疗,观察治疗前后两组排便次数、Bristol分型评分、症状缓解情况、生长发育情况、临床疗效及不良反应发生情况.结果 治疗后研究组排便次数、Bristol分型评分、患儿身高、体质量及总有效率[分别为(5.58±0.62)次,(3.53±1.15)分,(87.48±8.76)cm,(14.38±2.15)kg,98.46%]均高于参照组[分别为(4.42±0.59)次,(2.63±1.02)分,(75.22±8.58)cm,(11.27±2.21)kg,89.23%],差异均具有统计学意义(均P<0.05);研究组腹胀、便痛、排便困难、食欲不振评分[分别为(3.69±1.32)分,(2.11±2.10)分,(2.79±0.72)分,(2.99±1.58)分]均低于参照组[分别为(4.56±1.15)分,(3.78±2.09)分,(4.04±0.69)分,(4.83±1.47)分],差异均具有统计学意义(均P<0.05).结论 高剂量PEG治疗婴幼儿FC,能够改善患儿便秘情况及生长发育状况,且疗效较佳.
Objective To investigate effect of high-dose polyethylene glycol(PEG)on infantile functional constipation(FC),growth and development in infants.Methods One hundred and thirty infants with FC admitted to our hospital from October 2022 to July 2023 were enrolled in this study and randomized into the control group and the experimental group with 65 in each.The in-fants in the control group were treated with lactulose oral solution,and those in the experimental group with high-dose PEG.Then the number of bowel movements,Bristol stool form scale,symptom relief,growth and development,clinical efficacy and incidence of adverse reactions were observed in both groups.Results The experimental group reported a larger number of bowel movements[(5.58±0.62)vs.(4.42±0.59)],higher Bristol stool form scale score[(3.53±1.15)vs.(2.63±1.02)],longer body height[(87.48±8.76)cm vs.(75.22±8.58)cm],higher body weight[(14.38±2.15)kg vs.(11.27±2.21)kg],better clinical efficacy rate(98.46%vs.89.23%),and lower scores on abdominal distension[(3.69±1.32)vs.(4.56±1.15)],painful stools[(2.11±2.10)vs.(3.78±2.09)],difficulty in defecation[(2.79±0.72)vs.(4.04±0.69)],and loss of appetite[(2.99±1.58)vs.(4.83±1.47)]as compared to the control.There were significant differences between the 2 groups(P<0.05).Conclusion Treatment of FC with high dose PEG can alleviate con-stipation,and improve growth and development in infants.

Infant functional constipationHigh-dose polyethylene glycolGrowth and developmentClinical effect

李红、刘成山、拉珍

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西宁市第一人民医院新生儿科,西宁 810000

青海省藏医院普通外科,西宁 810000

婴幼儿功能性便秘 高剂量聚乙二醇 生长发育 临床疗效

2024

中国药物应用与监测
中国人民解放军总医院

中国药物应用与监测

CSTPCD
影响因子:1.983
ISSN:1672-8157
年,卷(期):2024.21(1)
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