CAJ | 학술논문

目的：探讨牛奶蛋白过敏(CMPA)患儿的营养干预方法及效果。方法采用自身对照研究方法，回顾性分析79例CMPA患儿的临床资料，均予以牛奶回避及氨基酸配方粉等营养干预治疗，观察并比较患者干预前及干预后3个月的消化道症状、实验室指标及临床疗效。结果患者干预3个月后消化道症状、血红蛋白(Hb)及血嗜酸性细胞等均有明显改善，与干预前比较差异均有统计学意义(P<0.05)；干预3个月后患儿的总有效率为93.7%，与干预1个月后的78.5%比较，差异有统计学意义(P<0.05)。结论使用氨基酸配方粉等营养干预的方法治疗CMPA患儿的效果显著，值得临床推广。
목적：탐토우내단백과민(CMPA)환인적영양간예방법급효과。방법채용자신대조연구방법，회고성분석79례CMPA환인적림상자료，균여이우내회피급안기산배방분등영양간예치료，관찰병비교환자간예전급간예후3개월적소화도증상、실험실지표급림상료효。결과환자간예3개월후소화도증상、혈홍단백(Hb)급혈기산성세포등균유명현개선，여간예전비교차이균유통계학의의(P<0.05)；간예3개월후환인적총유효솔위93.7%，여간예1개월후적78.5%비교，차이유통계학의의(P<0.05)。결론사용안기산배방분등영양간예적방법치료CMPA환인적효과현저，치득림상추엄。
Objective To investigate the nutrition intervention method and its effect in the treatment of chil-dren with milk protein allergy (CMPA). Methods Based on self-controlled study, the clinical data of 79 children with CMPA were retrospective analyzed, which were all treated with milk avoidance and amino acid formula powder for nutrition intervention. Changes of gastrointestinal symptoms, laboratory indexes and clinical therapeutic effect were observed before and 3 months after treatment. Results Three months after intervention, the gastrointestinal symptoms, hemoglobin (Hb) and blood eosinophilia acidic cells were significantly improved, and there were signifi-cantly differences compared with before treatment (P<0.05). The total effective rate after 3 months was 93.7%, signifi-cantly higher than 78.5%one month after treatment (P<0.05). Conclusion Nutrition intervention has remarkable ef-fect in the treatment of CMPA and is worthy of clinical promotion.