紧急救援计划中严重营养不良儿童的门诊护理:一项回顾性队列研究
1Valid International, Stockwell, London, UK. steve@validinternational.org
Lancet (London, England)
|December 14, 2002
概括
紧急情况下严重营养不良的门诊治疗显示出有希望的恢复和生存率,尽管体重增加和持续时间需要改进. 这种方法可以补充现有的养中心.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 营养 营养 营养 营养 营养
背景情况:
- 治疗性食中心是严重营养不良的标准,但面临着覆盖范围的限制.
- 评估替代策略对于有效的紧急营养救济至关重要.
研究的目的:
- 评估在紧急救援环境中对严重营养不良的门诊治疗的有效性.
主要方法:
- 对170名严重营养不良 (6-120个月) 的儿童进行了回顾性队列研究 (马拉斯木,kwashiorkor,marasmic kwashiorkor).
- 对临床记录进行分析,评估死亡率,违约率,出院率,体重增加率和计划持续时间.
主要成果:
- 康复率高 (85%) 和死亡率低 (4%).
- 平均体重增加为3.16g/kg/天;在马拉斯米和马拉斯米 kwashiorkor中更高.
- 平均出院时间为42天,马拉斯米患者的恢复速度更快.
结论:
- 门诊治疗符合恢复,违约和死亡率的最低标准.
- 节目持续时间和体重增加率不符合标准.
- 门诊护理为严重营养不良的中心治疗提供了一个补充策略.
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