在埃及的国家腹疾病控制项目期间,对高血的监测
I M Fayad1, N Hirschhorn, M Abu-Zikry
1Cairo University Faculty of Medicine, Egypt.
Lancet (London, England)
|February 15, 1992
概括
在埃及引入口服补水疗法 (ORT) 改善了腹管理,但最初增加了儿童的超血症. 母亲正确混合口服补水溶液 (ORS) 导致高纳血症发病率显著下降.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 临床医学 临床医学
背景情况:
- 在埃及,口服补水治疗 (ORT) 的全国实施旨在改善腹病例管理,降低婴儿和儿童死亡率.
- 增加口服补水液 (ORS) 包装的使用与1980年至1984年期间住院的脱水儿童中高纳血 (血清>150 mmol/l) 的增加相关.
研究的目的:
- 系统地监测脱水儿童中超血的趋势.
- 分析影响ORS治疗儿童高纳血症发病率的关键变量.
主要方法:
- 从1984年底开始,在门诊补水单位开始对高血的系统监测.
- 几年来 (1980-1989年) 从住院和门诊儿童中收集了有关高纳血症发生率和相关因素的数据.
主要成果:
- 1984年,住院患者的超血症发病率达到49%的峰值,其中19%的严重病例,然后到1989年下降到大约10% (严重的2%).
- 过高血的上升和下降与母亲越来越多地使用和随后正确准备ORS相关.
- 与高纳血症积极相关的因素包括ORS数量,脱水严重程度,营养状况和较凉爽的季节;年龄和腹持续时间显示出负面关联.
结论:
- 通过大众媒体宣传,改善了ORS利用和病例管理,导致高纳血症的减少.
- 保持适当的ORS制备标准至关重要;如果标准下降,可以考虑减少ORS含量.
关键词:
非洲 非洲 非洲阿拉伯国家 阿拉伯国家生物学 生物学 生物学儿童死亡率 儿童死亡率儿童营养 儿童营养数据分析 数据分析数据收集 数据收集 数据收集人口结构因素 人口结构因素发展中国家 发展中国家腹 腹 腹 腹 腹 腹 腹 腹 腹腹,儿童 - - 预防和控制腹.疾病 疾病 疾病埃及 埃及 埃及 埃及卫生健康 卫生健康 卫生健康事件发生率 事件发生率婴儿死亡率 婴儿死亡率成分和化学品的成分和化学品无机化学品 无机化学品营养不良 营养不良 营养不良测量方法 测量方法地中海国家 地中海国家 地中海国家金属 金属 金属死亡率 死亡率 死亡率北非,北非,非洲北部.营养 营养 营养 营养 营养营养障碍 营养障碍 营养障碍口服补水 - - 管理和剂量.人口人口的人口人口.人口特征 人口特征人口动态 人口动态研究方法研究方法研究方法学风险因素 风险因素抽样研究 抽样研究- - 分析分析统计回归 统计回归研究研究研究研究研究研究.调查 调查 调查治疗方法 治疗方法相关概念视频
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