酸奶用于治疗急性肠胃炎患儿的系统回顾与荟

  饮用酸奶对体重增加有积极作用,但对住院儿童急性胃肠炎结局无相同作用。由于所获数据有限,且入组试验的方法学局限性,应谨慎对待该证据。饮用酸奶在门诊条件下的影响尚不清楚。

ClinNutr.Oct;34(5):-24.

Yogurtfortreatingacutegastroenteritisinchildren:Systematicreviewandmeta-analysis.

Patro-GotabB,ShamirR,SzajewskaH3.

TheMedicalUniversityofWarsaw,DepartmentofPaediatrics,Warsaw,Poland.

InstituteofGastroenterology,NutritionandLiverDiseases,SchneiderChildrensMedicalCenterofIsrael,SacklerFacultyofMedicine,Tel-AvivUniversity,Petach-Tikva,Israel.

BACKGROUND:InMay,theupdatedguidelinesforthemanagementofacutegastroenteritis(AGE)werepublished.TheuseofyogurtinthenutritionalmanagementofAGEwasnotaddressed,althoughitisfrequentlyusedinmanycountriesforthispurpose.WeaimedtosystematicallyevaluatetheefficacyofyogurtconsumptionforthemanagementofAGEinchildren.

DESIGN:Inthissystematicreview,anumberofdatabases,includingMEDLINE,EMBASE,andtheCochraneLibrary,withnolanguagerestrictions,weresearcheduptoJulyforrandomizedcontrolledtrials(RCTs)evaluatingtheeffectofyogurtconsumptioninchildrenwithAGE.TheriskofbiaswasassessedusingtheCochraneriskofbiastool.

RESULTS:FourRCTs(n=)thatweregenerallylowinmethodologicalquality,allperformedinhospitalsetting,wereincluded.Comparedwithplacebo/nointervention,yogurtconsumptionhadnosignificanteffectonstoolvolume.Thedataontheeffectofyogurtconsumptiononthedurationofdiarrheaandstoolfrequencywerenotconsistent.Thechanceoftreatmentsuccess(orfailure)wassimilarinbothgroups.Comparedwithplacebo,thedurationofhospitalizationwasshorterinchildrenwhoreceivedyogurt,butthedifferencewasofaborderlinesignificance.Totalweightgainincreasedforthosetreatedwithyogurt.

CONCLUSIONS:Theconsumptionofyogurthadapositiveeffectonweightgain,butnoconsistenteffectonAGEout







































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