頁籤選單縮合
題名 | "蔗糖耐受性測驗" 對腹瀉病兒之臨床診斷價值 |
---|---|
作者 | 李宏昌; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷期 | 26:5 民74.09-10 |
頁次 | 頁455-459 |
分類號 | 417.5472 |
關鍵詞 | 耐受性; 病兒; 測驗; 腹瀉; 價值; 蔗糖; 臨床診斷; |
語文 | 中文(Chinese) |
中文摘要 | 馬偕醫院小兒科自民國72年6月至73年1月共為100名住院的腹瀉病兒做“蔗糖耐受性測驗”。我們將測驗的結果分為四個等級。第一級與對照組(因其它病住院,臨床上無腹瀉的病兒)具有相同的測驗值。第二級雖然測驗值較對照組為差,但給予含蔗糖的“無乳糖奶粉”(Lactose free milk),其臨床上之進步,與第一級之結果,並無統計學上的差異。屬於第三、第四級的病兒,則必須給予不含蔗糖的“無乳糖奶粉”,才會有臨床症狀之改善,顯於第三及第四級具有“蔗糖不耐受性”。第四級之病兒,進步緩慢;在開始餵食之前,常須一段時間之靜脈營養輸液治療。我們的結果顯示,急性腹瀉病兒,有41%蔗糖耐受不良。慢性腹瀉病兒中,同時併有體重不增者,有67.5%蔗糖耐受不良;而不影響體重者,僅18.2%蔗糖耐受不良。 |
英文摘要 | From June 1983 to January 1984, one hundred "sucrose tolerance test" (STT) were performed in pediatric patients with diarrhea at Mackay Memorial Hospital. The results of STT were divided into four grades. Grade Ⅰ means the serum glucose level raises more than 80 mg/dl over the fasting level within the test period (ie, △>80mg/dl)-the same results as control group. Grade Ⅱ means △ is between 51 and 80 mg/dl. Grade Ⅲ means △ is between 26 and 50 mg/dl. Grade Ⅳ means △ is less than 25 mg/dl. In grade Ⅰ and grade Ⅱ patients, there was no difference in clinical course when they were fed with sucrose-containing formula. In patients with grades Ⅲ or Ⅳ STT (patients with sucrose intolerance), sucrose-containing formula should not be given, otherwise diarrhea will be worse. In patients with grade IV STT, parenteral nutrition was usually necessary for a while before enteral feeding initiated. In this study, sucrose intolerance was found in 41% of patients with acute diarrhea (duration <2 weeks). In patients with chronic diarrhea (duration>2 weeks), sucrose intolerance was found in 67.5% of those associated with failure to thrive, compared with 18.2% of those without failure to thrive (P<0.01). In conclusion, STT is valuable clinically for pediatric patients with diarrhea. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。