作者: A. M. Molla , S. M. Ahmed , W. B. Greenough
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摘要: A ramdomized trial using oral rehydration solutions (ORS) with rice or glucose was carried out in 342 patients acute watery diarrhea the outpatient ward of International Centre for Diarrheal Disease Research Bangladesh during an epidemic cholera between December 1982-March 1983. On admission 75% these had severe dehydration and 70% were positive Vibrio cholerae. There 185 children aged under 10 years 157 adults; 169 treated rice-ORS 173 glucose-ORS. Patients both groups comparable age body weight as well duration severity illness. first rehydrated intravenously then ORS. Those moderate received ORS from start. The mean stool output 24 hours less than that those glucose-ORS (155 vs 204 ml/kg 24h; P0.01). same case adult corresponding values being 115 versus 159 ml/kg24h (P0.05); intakes respectively 180.5 247 ml/kg24 hours. gain about 10% on observed all groups. 6 cases (4 2 adults) who failed to respond after intravenous therapy belonged group. study shows even conditions cholera-like sucrose can be replaced by powder improved results. Glucose are manufactured products which expensive not always available countries where diarrheal diseases a problem. Rice staple food many reduces fluid requirements when used also provides increased nutrition stage