目的 探讨1~ 6个月婴儿母亲饮食结构以及婴儿喂养方式两者与湿疹发病的关系,并观察对进食敏感食物母亲进行饮食干预治疗婴儿湿疹的疗效。方法 采用问卷方式调查705例婴儿母亲饮食结构及其婴儿的喂养方式,根据婴儿喂养方式不同分为纯母乳喂养组和纯人工喂养组,对纯母乳喂养组根据母亲哺乳期饮食结构,分为进食大量敏感食物组和进食少量敏感食物组以及非敏感食物组,比较不同喂养方式以及母亲不同饮食结构婴儿湿疹的患病率以及不同组别湿疹发病的相关性分析;并对进食敏感食物组湿疹患儿的母亲进行饮食干预,观察治疗效果。结果 广州地区纯母乳喂养婴儿湿疹患病率高于纯人工喂养组(P＜0.05),母乳喂养组中母亲进食敏感食物发病率高于非敏感食物(P＜0.001),进食敏感食物与湿疹发病率呈正相关关系(r=0.36)。对进食敏感食物母亲进行饮食人工干预后,婴儿湿疹患病率下降(P＜0.001)。结论 母亲进食敏感食物可能是婴儿湿疹高发的原因,对母亲进行饮食干预可有效减少婴儿湿疹的发病。

Objective Infantile eczema are possibly related to the feeding patterns and mother's dietary structure.The study in this paper is to investigate the relationship between them and evaluate the effect of diet intervention in breast feeding mother whose baby with eczema. Methods Infants were divided into 2 groups according to their feeding patterns:simple artificial feeding group and simple breast feeding group.In the simple breast feeding group,mothers were also divided into 3 levels according to their dietary structure.Mothers who ate a lot of allergenic food a day might get a dietary intervention.Prevalence rate of eczema was investigated and analyzed in each step. Results Simple breast feeding group had a higher eczema morbidity than simple artificial group(P＜0.05).The more allergenic food the mother ate,the higher occurrence of eczema of their babies(P＜0.001),which showed a positive correlation(r=0.36).The occurrence of eczema dropped significantly compared to the non intervention group(P＜0.001). Conclusion Mothers who are eating allergenic food is considered to a risk for infant's eczema. Food intervention is an effective method to reduce the prevalence rate.

目的 观察以湿敷为主的早期综合干预疗法治疗婴幼儿湿疹的效果。方法 按照随机的原则对118例患有湿疹的婴幼儿分为观察组(60例)和对照组(58例)。观察组采取以湿敷为主的早期综合治疗,对照组采取一般家庭干预,两组均跟踪随访,观察湿疹的好转情况,并统计湿疹复发率。结果 观察组60例患者中痊愈38例,占 63.3%;显效20例,占 33.3%;有效2例,占3.3%;无效0例;总有效率100%。痊愈的38例中,随访8周后重新出现湿疹的病例为8例,复发率为21%。对照组58例患者中痊愈20例,占 34.48%;显效14例,占24.14%;有效16例,占27.59%;无效8例,占13.79%;总有效率86.21%。观察组痊愈的38例中,随访8周后重新出现湿疹的病例为8例,复发率为21%。对照组痊愈20例中复发6例,复发率为30%。结论 以湿敷为主的早期综合干预疗法能有效减轻湿疹的症状,可以作为社区治疗婴幼儿湿疹的参考。

Objective To observe the effects of wet compress based early comprehensive intervention therapy in the treatment of infant eczema. Methods 118 cases of infantile eczema within the jurisdiction were randomly divided into observati on group (60 cases)and control group (58 cases). The observation group was given early comprehensive therapy based on wet compress while the control group took general family intervention.Follow-up observations were adopted for both groups to examine the curing of eczema and to collect data for eczema recurrence. Results In the observation group of 60 cases, 38 were cured, accounting for 63.3%; 20 markedly improved (33.3%),2 effective(3.3%) and 0 ineffective; with the total effective rate of 100%.of the 38 cases cured, eczema reappeared in 8 cases after eight weeks of follow-up observation, with the recurrence rate of 21%. In the control group of 58 cases, 20 were cured, accounting for 34.48%; 14markedly improved (24.14%), 16 effective (27.59%),and 8 ineffective (13.79%),with the total effective rate of 86.21%. In the observation group, eczema recurred in 8 of the 38 cured cases after eight weeks of follow-up observation, with the recurrence rate of 21% while in the control group, eczema recurred in 6 cases, with the recurrence rate of 30%. Conclusion Wet compress based early comprehensive intervention therapy can effectively relieve the symptoms of eczema, so it can be effectively used in community treatment of infantile eczema.