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目的 探讨急性腹泻并发中度脱水患儿使用葡萄糖口服补液盐 (G -ORS)发生短暂葡萄糖不耐受 (TGI)的危险因素和补液方法。方法 将 97例急性腹泻并发中度脱水患儿分成两组 :TGI组 (n =32 ) ,其中 8例给予G -ORS ,2 4例给予大米口服补液盐 (R -ORS)治疗 ,非TGI组 (n =6 5) ,均给予G -ORS治疗 ,比较临床特征及实验室指标。结果 与非TGI组相比 ,TGI组年龄较小 ,大便频率较高 ,血氯水平较高 ,碳酸氢盐水平较低。 2 4例使用R -ORS的TGI患儿中 18例有效 (有效率 75% ) ,8例使用G -ORS的患儿治疗无效。结论 年龄较小 ,大便频率较高的患儿TGI的危险性较高 ,TGI患儿可考虑用R -ORS补液
Objective To investigate the risk factors and rehydration methods of transient glucose intolerance (TGI) in children with acute diarrhea complicated with moderate dehydration using glucose oral rehydration salt (G -ORS). Methods Ninety-seven children with acute diarrhea complicated with moderate dehydration were divided into two groups: TGI group (n = 32), of which 8 were given G -ORS, 24 were treated with rice oral rehydration salt (R -ORS) (n = 65) were given G -ORS treatment, clinical features and laboratory parameters were compared. Results Compared with non-TGI group, TGI group was younger, had higher stool frequency, higher blood chlorine level and lower bicarbonate level. Twenty-four of the 24 children with TGI who received R -ORS were effective (75%) and 8 of the children with G -ORS were ineffective. Conclusion There is a high risk of TGI in children with younger age and higher frequency of stool. Children with TGI may be considered for rehydration with R -ORS