米汤电解质溶液防治小儿急性腹泻脱水的研究

RICE WATER ELECTROLYTE RESOLUTION PREVENTS AND CURES CHILDREN DIARRHEA ANd DEHYORATION

全国妇幼卫生示范县小儿腹泻科研协作组,指定协作单位华西医大儿科重点研究大米粉50克及电解质作成的Rice—ORS与WHO—ORS对照观察,同时指定仁寿、麻城、南郊(用小米)三个示范县研究第二分题米汤加盐 ORT。华西医大儿科收治2岁以下急性腹泻婴儿100例,大便细菌培养85例,5例阳性,其余均阴性。轮状病毒检查ELISA及PAGE法阳性率分别为76.3％和64.8％。Rice—ORS组71例治疗成功67例(94.4％),WHO—ORS组29例成功26例(89.7％)。脱水纠正时间、止泻时间两组差异无显著性,但体重净增数Rice—ORS组优于WHO—ORS组。住院平均为3.1天。三个示范县用米汤加盐ORT共400例,其中预防脱水组254例,治疗脱水组146例,成功率分别为91.3％和97.3％。三个示范县用其他措施治疗139例,成功111例(79.9％),其成功率低于前二组。米汤加盐预防脱水组在三天内止泻者197例(87.5％),治疗组77例(53.1％),病程平均为2.1天。似可说明腹泻早期用米汤加盐治疗可缩短病程。

To improve high - grade ORT which prevents children diarrhea and earlier usage of ORT of prevent children suffering from diarrhea from loss of body fluids, national example countries of women and children health care and scientific organizations fo prevent diarrhea asked West China Medical Univercity to inspect and study the ef-fecfs of RICE-ORS which is combined with rice flour (50g) and electrolyte compared with WHO-ORS and at the same time, asked Renshou, Macheng and Nanjiao counties to inspect the effects of ORT with salt and rice water. The results showed that a. among the 100 children who are suffering from diarrhea, 71 are of RICE-ORS group and 67 are recovered (94. 4%), 29 are of WHO -ORS group and 26 are recovered (89. 7%). The time used to cure are more or less the same, but the RICE-ORS. group gained more weight than WHO - ORS. Both groups stayed at hospital for 3. 1 days. b. ORT combined with salt and rice water are seen 400 cases, 254 cases are for prevention and 146 cases are for care. 91. 39% and 97. 3% are effective respectedly. The results seem to show that salt and rice water takes less time to cure.