使用益生菌治疗儿童急性胃肠炎:系统综述

Stevenie
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引用次数: 0

摘要

儿童最常患的疾病之一是急性肠胃炎。全世界每年约有5亿儿童受到这种疾病的影响。在富裕国家发生的急性感染性腹泻通常有一个温和的临床过程,症状通常会在几天内自行消失。脱水评估是诊断和治疗护理中最重要的部分,因为它确定了AGE的程度,是决定患者是否应该住院时考虑的标准之一。门诊治疗适合绝大多数患者;只有需要通过肠内或肠外途径补液的患者才应考虑住院治疗。口服低摩尔浓度液体补液是初始治疗的选择。止泻药,如消旋卡多曲和异米脱,益生菌,如乳酸杆菌GG和博氏酵母菌,和昂丹司琼,减轻恶心和呕吐的严重程度,也是有益的。抗生素治疗只应该在最可怕的情况下进行探索。急性腹泻是一种众所周知的医学疾病,如果病人坚持一些已经明确概述的基本指导方针,就很容易治愈。目前还没有足够的数据支持益生菌在治疗或预防儿童急性胃肠炎方面的应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
USE OF PROBIOTICS FOR THE MANAGEMENT OF ACUTE GASTROENTERITIS IN CHILLDREN : A SYSTEMATIC REVIEW
One of the illnesses that affect children the most frequently is acute gastroenteritis. There are around 500 million children throughout the world who are affected by this illness each year. The acute infectious diarrhea that occurs in affluent nations often has a moderate clinical course, and symptoms typically disappear on their own within a few days. The assessment of dehydration is the most essential part of both diagnostic and therapeutic care since it establishes the degree of AGE and is one of the criteria that is considered when deciding whether or not a patient should be admitted to the hospital. Outpatient care is appropriate for the vast majority of patients; hospitalization should only be considered for individuals who require rehydration by enteral or parenteral routes. Oral rehydration with fluids of a hypoosmolar concentration is the initial therapy of choice. Antidiarrheals such as racecadotril and diosmectite, probiotics such as Lactobacillus GG and Saccharomyces boulardii, and ondansetron, which lessens the severity of nausea and vomiting, are also beneficial. Antibiotherapy is something that should only be explored in the most dire of circumstances. Acute diarrhea is a well-known medical condition that is straightforward to cure if the patient adheres to a few basic guidelines that have been clearly outlined. There is an insufficient amount of data to support the use of probiotics in either a therapeutic or preventative capacity for the treatment of acute gastroenteritis in children.
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