婴幼儿牛奶蛋白过敏症68例诊治分析

Study on the clinical diagnosis and treatment of milk protein allergy in 68 cases of infants

目的研究分析婴幼儿牛奶蛋白过敏症的临床诊断与治疗方法。方法随机抽取本院2014年3月-2015年3月确诊为牛奶蛋白过敏症患儿68例,分析其临床症状、回避试验及治疗情况。结果 68例牛奶蛋白过敏症患儿的主要临床症状表现为呕吐、肠痉挛、腹泻腹胀、喷嚏、面部水肿、特应性湿疹等。采取食物回避的方法后患儿症状有所缓解或消失,取得家长同意后进行激发试验阳性者,采取氨基酸配方粉喂养方式后症状再一次好转或消失,体重逐渐恢复,营养状态明显改善。结论临床上可采用食物激发试验和食物回避方法诊断牛奶蛋白过敏症;确诊牛奶蛋白过敏症后可采用母乳喂养或游离氨基酸配方奶喂养,效果理想,值得临床应用推广。

Objective To study the clinical diagnosis and treatment of milk protein allergy in children and infants.Methods A total of 68 patients with milk protein hypersensitivity were randomly selected from March 2014 to March 2015,and the clinical symptoms,avoidance test and treatment were analyzed. Results The main clinical symptoms of 68 cases of milk protein allergy were vomiting,intestinal spasm,abdominal distension,sneezing,facial edema,atopic eczema,etc.Take food avoidance methods in children with symptoms somewhat relieved or disappeared,the parents consent to provocation test positive,to take after amino acid formula powder feeding symptoms again improved or disappeared,body weight slowly recovering,nutritional status improved. Conclusions For children with milk protein hypersensitivity,the clinical symptoms of food stimulation test and food avoidance method can be used.During the food avoidance,the use of amino acid formula powder feeding not only can meet the needs of infants and infants,but also can effectively remove the allergic source.