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补锌联合消旋卡多曲颗粒治疗对轮状病毒性肠炎患儿血锌及免疫功能的影响▲
Effect of zinc supplementation combined with racecadotril granules on blood zinc and immune function in children with rotavirus enteritis

内科 202116卷01期 页码:25-27+79

作者机构:河南省商丘市第四人民医院小儿科,商丘市476000

基金信息:▲基金项目:河南省医学科技攻关项目(201403258)

DOI:DOI:10.16121/j.cnki.cn45-1347/r.2021.01.08

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目的观察补锌联合消旋卡多曲颗粒治疗对轮状病毒性肠炎(RVE)患儿血锌及免疫功能的影响。方法选择2016年8月至2019年7月我院收治的RVE患儿106例,采用随机数字法分为两组,每组53例。对照组患儿接受常规治疗,观察组患儿在常规治疗的基础上加用葡萄糖酸锌糖浆、消旋卡多曲颗粒治疗,治疗7 d为1疗程,共治疗2个疗程。比较两组患儿的临床症状、体征改善时间以及血锌、免疫功能指标水平变化和不良反应发生情况。结果观察组患儿的退热、止吐、止泻、脱水纠正时间均显著短于对照组,差异有统计学意义(P<0.05)。治疗前两组患儿的血锌、免疫球蛋白A(IgA)、免疫球蛋白M(IgM)、免疫球蛋白G(IgG)水平比较,差异无统计学意义(P>0.05);治疗2个疗程后,观察组患儿的血锌、IgA、IgM、IgG水平均高于对照组,差异有统计学意义(P<0.05)。两组患儿的不良反应发生情况比较,差异无统计学意义(P>0.05)。结论在常规治疗的基础上,补锌联合消旋卡多曲颗粒治疗轮状病毒性肠炎患儿,能加快症状缓解、提高血锌水平、增强免疫功能,促进康复。
ObjectiveTo observe the effects of zinc supplementation combined with racecadotril granules on blood zinc and immune function in children with rotavirus enteritis (RVE). MethodsA total of 106 children with RVE admitted to our hospital from August 2016 to July 2019 were selected, and they were divided into two groups according to the random number method, with 53 cases in each group. The control group received conventional therapy, based on which the observation group was additionally administrated with zinc gluconate syrup and racecadotril granules, for 7 days as a course of treatment and 2 treatment courses in total. The improvement time of clinical symptoms and signs, changes of blood zinc, immune function indicator levels, and adverse reactions were compared between the two groups. ResultsThe correction time of antipyretic, vomit-stopping, antiemetic, and dehydration in the observation group was significantly shorter than that in the control group, with a statistically significant difference (P<0.05). Before treatment, there were no statistically significant differences in levels of blood zinc, immunoglobulin A (IgA), immunoglobulin M (IgM), and immunoglobulin G (IgG) between the two groups (P>0.05). After 2 courses of treatment, the levels of blood zinc, IgA, IgM, and IgG in the observation group were higher than those in the control group, with statistically significant differences (P<0.05). There was no statistically significant difference in the incidence of adverse reactions between the two groups (P>0.05). ConclusionOn the basis of conventional treatment, zinc supplementation combined with racecadotril granules for children with rotavirus enteritis is beneficial to accelerate symptoms relief, increase blood zinc level, enhance immune function, and promote recovery.

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