健康教育联合补锌对轻中度铅中毒儿童防治教育的效果评价

目的探讨健康教育联合补锌对轻中度铅中毒儿童防治教育的效果评价。方法选取轻中度铅中毒儿童92例,采用随机数字表分为对照组和观察组,每组46例,对照组采用补锌干预,观察组在对照组基础上联合健康教育干预。干预12个月后比较两组血铅、肝功能、症状消失时间、依从性。结果观察组干预后4、8及12个月血铅水平均低于对照组,差异有统计学意义(P<0.05)。观察组干预12个月后丙氨酸转移酶(ALT)、天冬氨酸氨基转移酶(AST)、总胆红素(Tbil)、碱性磷酸酶(ALP)及谷氨酰转肽酶(GGT)水平均低于对照组,差异有统计学意义(P<0.05)。观察组干预后厌食、腹胀腹痛、夜寐不安、多动及注意力不集中消失时间均短于对照组,差异有统计学意义(P<0.05)。观察组干预后康复锻炼、定期复查、按时用药、饮食依从率均高于对照组(P<0.05)。结论健康教育联合补锌用于防治轻中度儿童铅中毒患者,临床疗效明显。

Effect evaluation of health education combined with zinc supplementation on prevention and treatment of education in children with mild and moderate lead poisoning

Objective To evaluate the effect of health education combined with zinc supplementation on the prevention and treatment of education in children with mild and moderate lead poisoning.Methods 92 children with mild to moderate lead poisoning were selected,and the random number table was divided into the control group and the observation group,with 46 cases in each group.The control group was treated with zinc supplementation intervention,and the observation group was combined with health education intervention on the basis of the control group.After 12 months of the intervention,blood lead,liver function,symptom disappearance time and compliance between the two groups were compared.Results Blood lead levels in the observation group were lower than those in the control group at 4,8 and 12 months after the intervention,with statistically significant differences(P<0.05).After 12 months of the intervention,the levels of alanine transferase(ALT),aspartate aminotransferase(AST),total bilirubin(Tbil),alkaline phosphatase(ALP)and glutamate transpeptidase(GGT)in the observation group were all lower than those in the control group,with statistically significant differences(P<0.05).After the intervention,anorexia,abdominal distension and pain,restless sleep,hyperactivity and inattention disappeared in the observation group were shorter than those in the control group,with statistically significant differences(P<0.05).The observation group had higher rates of rehabilitation exercise,regular re-examination,regular medication and diet compliance than the control group(P<0.05).Conclusions Health education combined with zinc supplementation for mild and moderate lead poisoning in children can induce the clinical obvious effect.