頁籤選單縮合
題 名 | 從實證觀點探討鋅用於小兒腹瀉之臨床應用=Oral Zinc for Treating Diarrhea in Children of Evidence--Based Medicine |
---|---|
作 者 | 張美琪; 張秀玲; 蔡斌智; 林梅芳; | 書刊名 | 藥學雜誌 |
卷 期 | 27:1=106 2011.03[民100.03] |
頁 次 | 頁49-53 |
分類號 | 418.2181 |
關鍵詞 | 鋅; 腹瀉; 口服電解質液; Zinc; Diarrhea; Oral rehydration solution; |
語 文 | 中文(Chinese) |
中文摘要 | 根據聯合國世界衛生組織 (WHO)近年的統計報告,每年約有兩百萬兒童死於腹瀉,在開發中國家五歲以下的兒童因腹瀉死亡約佔 18%。雖然標準口服電解質液已成功地用於防止腹瀉患者脫水,降低腹瀉致死率,但仍需要給予藥物輔助治療以縮短病程和減輕腹瀉症狀。鋅是人體重要的微量元素,具有抗氧化和穩定細胞膜的作用。目前已知小兒急性腹瀉會增加鋅的流失及減少鋅的吸收,使血中鋅的濃度降低,鋅缺乏會造成消化道免疫力下降,免疫力下降使腹瀉的持續時間延長。補鋅可以減緩腹瀉的嚴重程度、持續時間及對未來再復發率具有益的影響,因此在腹瀉的兒童除了給予口服電解質液外,適量的補鋅可納入腹瀉治療的輔助療法。 |
英文摘要 | Statistics from World Health Organization (WHO) show that diarrhea disease accounts for 18% of the 2 million deaths in children who were younger than 5 years in developing countries. One of the major advances in the reduction of mortality from diarrhea was the introduction of WHO oral rehydration solution (ORS) ; however, ORS does not significantly decrease stool output and duration of diarrhea, and therefore other drug approaches to add to or to enhance the available ORS have been sought. Zinc is an essential micronutrient and protects cell membranes from oxidative damage. A zinc deficiency state may exist in children with acute diarrhea as a result of intestinal loss and the reduced zinc absorption. Zinc deficiency causes decreased gastrointestinal immune function, which causes delay duration of diarrhea. Zinc supplementation was beneficial for reducing the duration and severity of acute and persistent diarrhea and as a prophylactic supplement for decreasing the incidence of diarrhea disease. Supplemental zinc has previously been shown to be therapeutic benefits in children of diarrhea. Zinc as adjunct therapy for children diarrhea has included the addition of oral rehydration solution to the treatment regimen. |
本系統中英文摘要資訊取自各篇刊載內容。