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首页> 外文期刊>Transactions of the Royal Society of Tropical Medicine and Hygiene >Childhood diarrhoea symptoms, management and duration: observations from a longitudinal community study.
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Childhood diarrhoea symptoms, management and duration: observations from a longitudinal community study.

机译：儿童腹泻症状，处理和持续时间：来自纵向社区研究的观察结果。

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摘要

This study examined the evolution and duration of diarrhoea episodes observed in a community setting, with regard to symptoms and carers' responses. The study group comprised 1156 children, aged 0-36 months, who were followed-up with twice-weekly home visits in 30 sampling areas in the city of Salvador, northeast Brazil. A total of 2403 diarrhoea episodes (mean duration: 2.9 days) were recorded. The number of soft/liquid motions per day (3.6) did not vary significantly with duration, but other symptoms were more commonly reported in the longer episodes. However, when the data were analysed by day of the episode, rather than the episode's overall duration, the reported frequency of fever and vomiting declined significantly with time. During the course of an episode, rehydration, medication and care-seeking also showed a decline in frequency after the first or second week. As episodes continue, less rehydration and medical care are provided by carers, whereas they ought to be maintained because of the continued purging and cumulative effect of the symptoms. Since most cases of diarrhoea are managed at home, it is important to understand how to encourage better management of the longer episodes, which cause an increasing proportion of mortality in some countries.
机译：这项研究检查了在社区环境中观察到的腹泻发作的演变和持续时间，涉及症状和护理人员的反应。该研究组包括1156名0-36个月大的儿童，他们在巴西东北部萨尔瓦多市的30个抽样地区进行了每周两次的家访。总共记录了2403次腹泻发作（平均持续时间：2.9天）。每天的软/液运动次数（3.6）随持续时间变化不明显，但在较长的发作中更常见于其他症状。但是，当按发作的一天而不是发作的总持续时间分析数据时，所报告的发烧和呕吐频率随时间显着下降。在发作的过程中，补液，药物治疗和寻求护理的频率在第一周或第二周后也有所下降。随着发作的继续，护理人员提供的补液和医疗服务较少，而由于症状的持续清除和累积作用，应予以维持。由于腹泻的大多数情况是在家中处理的，因此了解如何鼓励更好地控制较长时间发作很重要，因为较长时间发作会导致某些国家死亡率的增加。

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