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6至59个月龄的儿童重症急性营养不良的再养综合征
Abdul Salam Memon1, Muhammad Rafique1,2, Amanullah Lail1,2
1Department of Paediatric Medicine, Civil Hospital, Karachi, Pakistan.
概括
重新养综合征影响12.4%的严重急性营养不良 (SAM) 的儿童. 年龄较小,身高较小和特定的养方法是相关因素,突出了需要仔细的营养康复的需要.
科学领域:
- 儿童营养学 儿童营养学
- 临床医学 临床医学
- 公共卫生 公共卫生
背景情况:
- 重新养综合征是管理严重急性营养不良 (SAM) 的关键问题.
- 在营养康复期间,电解质失衡可能会出现.
- 了解风险因素对于预防营养不良儿童的不良结果至关重要.
研究的目的:
- 确定6至59个月的SAM儿童中再综合征的发生率.
- 在这个人群中确定与重新养综合征的发展相关的因素.
- 为临床实践提供有关SAM的营养支持的信息.
主要方法:
- 在巴基斯坦卡拉奇进行了一项描述性,横截面的研究.
- 在营养康复后72小时内,对185名6-59个月龄的SAM儿童进行了重新养综合征评估.
- 统计分析包括奇平方/费舍尔的精确测试和对对 t 测试 (p ≤0.05显著).
主要成果:
- 在研究的185名儿童中,有12.4%的儿童出现了再养综合征.
- 在受影响的儿童中,血清酸盐,和的含量显著下降.
- 年龄较小,身高较低,鼻胃/静脉养与再养综合征显著相关 (p <0.05).
- 心脏异常在患有反综合征的儿童中更为频繁.
结论:
- 重新养综合征发生在SAM的儿童中显著的比例.
- 风险因素包括年龄较小,身材较矮,以及特定的营养支持路线.
- 在营养康复期间,密切监测电解质和心脏功能至关重要.
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