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目的:探讨婴幼儿轮状病毒肠炎与乳糖不耐受的关系及婴幼儿轮状病毒肠炎去乳糖饮食的疗法。方法:采用班氏改良法检测粪便中乳糖的含量,采用ELLISA双抗体夹心法测定粪便轮状病毒抗原,观察去乳糖饮食疗法治疗轮状病毒肠炎的疗效。结果:婴儿轮状病毒肠炎乳糖不耐受的发生率为66.67%;<1岁乳糖不耐受的发生率为70.73%,>1岁乳糖不耐受的发生率为40.00%;两个年龄段比较,差异有显著性(P<0.05)。轮状病毒肠炎乳糖不耐受去乳糖饮食疗法有效率为96.1%,低乳糖饮食组有效率为83.9%,对照组有效率为35.7%,差异有显著性(P<0.01)。结论:轮状病毒肠炎时乳糖不耐受发生率很高,临床上应引起高度重视。婴幼儿轮状病毒肠炎时乳糖不耐受给予去乳糖饮食疗法效果显著。
Objective: To investigate the relationship between infantile rotavirus enteritis and lactose intolerance and the treatment of infantile rotavirus enteritis and lactose diet. Methods: The content of lactose in feces was detected by Bancis modified method. The stool rotavirus antigens were detected by ELLISA double antibody sandwich method and the effect of de-lactose diet therapy on rotavirus enteritis was observed. Results: The incidence of lactose intolerance in infants with rotavirus enteritis was 66.67%. The incidence of lactose intolerance at 1 year old was 70.73%, and the incidence of lactose intolerance at 1 year old was 40.00%. The two age groups The difference was significant (P <0.05). Rotavirus enteritis intolerance lactose intolerance diet therapy was 96.1%, low lactose diet group was 83.9%, the control group was 35.7%, the difference was significant (P <0.01). Conclusion: The incidence of lactose intolerance in rotavirus enteritis is very high and should be given high priority in clinic. Infants with rotavirus enteritis lactose intolerance given to lactose diet therapy effect is significant.