轻度胃肠炎伴良性惊厥患儿心肌酶谱的变化分析
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摘要
目的探讨轻度胃肠炎伴良性惊厥患儿的心肌酶谱检测的临床意义。方法选取该院2012年4月—2016年10月收治的轻度肠胃炎伴良性惊厥患儿共80例为观察组,并选取同期身体检查的健康同龄婴幼儿80名为对照组,对比分析两组儿童粪便标本病原学检测和心肌酶谱(CK、AST、CK-MB、LDH、HBDH)变化情况。结果观察组CK(853.4±125.6)U/L、AST(87.4±28.3)U/L、CK-MB (78.3±12.6)U/L、LDH (456.3±87.3)U/L和HBDH (435.3±121.2)U/L显著高于对照组(t=11.632,8.423,9.642, 10.348,8.529,P<0.05),观察组心电图异常率(90.00%)明显高于对照组(5.00%)(χ~2=42.714,P<0.05)。结论心肌酶谱可作为轻度胃肠炎伴良性惊厥患儿病情检测的一项重要指标,临床诊治婴幼儿轻度肠胃炎伴良性惊厥时,要充分参考心肌酶谱,为临床诊治提供参考信息。
Objective To investigate the clinical significance of myocardial zymography in children with mild gastroenteritis and benign convulsions. Methods A total of 80 children with mild gastroenteritis and benign convulsions admitted to our hospital from April 2012 to October 2016 were enrolled in the observation group. 80 healthy infants of the same age who were selected for physical examination at the same time were selected as the control group. The pathogens and myocardial enzymes(CK, AST, CK-MB, LDH, HBDH) of the fecal specimens of the two groups were changed. Results CK(853.4 ±125.6)U/L, AST(87.4±28.3)U/L, CK-MB(78.3±12.6)U/L, LDH(456.3±87.3)U/L and HBDH(435.3±121.2)U/L was significantly higher than the control group(t=8.423, 11.632, 9.642, 10.348, 8.529,P<0.05). The abnormal rate of electrocardiogram(90.00%) in the observation group was significantly higher than that in the control group(5.00%)(χ~2=42.714, P<0.05). Conclusion Myocardial zymogram can be used as an important index for the detection of mild gas-troenteritis with benign convulsions. When clinical diagnosis and treatment of infantile mild gastroenteritis with benign convulsions,full reference to myocardial enzymes should provide reference infromation for clinical diagnosis and treatment.
Objective To investigate the clinical significance of myocardial zymography in children with mild gastroenteritis and benign convulsions. Methods A total of 80 children with mild gastroenteritis and benign convulsions admitted to our hospital from April 2012 to October 2016 were enrolled in the observation group. 80 healthy infants of the same age who were selected for physical examination at the same time were selected as the control group. The pathogens and myocardial enzymes(CK, AST, CK-MB, LDH, HBDH) of the fecal specimens of the two groups were changed. Results CK(853.4 ±125.6)U/L, AST(87.4±28.3)U/L, CK-MB(78.3±12.6)U/L, LDH(456.3±87.3)U/L and HBDH(435.3±121.2)U/L was significantly higher than the control group(t=8.423, 11.632, 9.642, 10.348, 8.529,P<0.05). The abnormal rate of electrocardiogram(90.00%) in the observation group was significantly higher than that in the control group(5.00%)(χ~2=42.714, P<0.05). Conclusion Myocardial zymogram can be used as an important index for the detection of mild gas-troenteritis with benign convulsions. When clinical diagnosis and treatment of infantile mild gastroenteritis with benign convulsions,full reference to myocardial enzymes should provide reference infromation for clinical diagnosis and treatment.
引文
[1]张玉荣,叶蔓,王正花.轻度胃肠炎伴婴幼儿良性惊厥84例临床分析[J].中国实用医药,2018,13(31):56-57.
[2]超超,梁亚峰,潘国权,等.轻度胃肠炎伴婴幼儿良性惊厥的临床分析及随访研究[J].中国当代儿科杂志,2017,19(11):1191-1195.
[3]胡泽华,黄玲玲,何康成,等.轻度胃肠炎伴良性婴幼儿惊厥147例临床分析[J].中国医药科学,2016,6(20):73-75,82.
[4]邹小杰,高峰.轻度胃肠炎伴婴幼儿良性惊厥研究进展[J].全科医学临床与教育,2015,13(5):539-541.
[5]卢乐声,徐智芳,白星,等.轻度胃肠炎伴良性婴幼儿惊厥肠道微生物改变的研究[J].中华全科医学,2018,16(05):802-804.
[5]肖艺,龙喻,刘瑛.轻度胃肠炎伴婴幼儿良性惊厥与热性惊厥血清和脑脊液锌水平比较[J].临床和实验医学杂志,2017,16(22):2265-2267.
[6]杜自强,周进苏,向秋莲.轻度胃肠炎伴良性婴幼儿惊厥患儿的肠道微生物检测及部分肠黏膜屏障指标观察[J].山东医药,2017,57(43):74-76.
[8]黄先萍,刘可心.轻度胃肠炎伴婴幼儿良性惊厥68例临床观察[J].西南医科大学学报,2017,40(4):417-418.
[9]李万顺,石广青,江波.轻度胃肠炎伴良性婴幼儿惊厥的临床治疗体会[J].中国实用神经疾病杂志,2016,19(14):93-94.
[10]邹小杰,高峰,徐震,等.轻度胃肠炎伴婴幼儿良性惊厥患儿细胞因子的研究[J].中国乡村医药,2017,24(12):6-7.
[11]陈俊国,吴鸣,张旭,等.轻度胃肠炎伴婴幼儿良性惊厥患儿脑脊液中S-100β蛋白、MBP、NSE变化的相关性研究[J].中华全科医学,2017,15(6):986-988.
[12]余艳妹.小儿轮状病毒肠炎心肌酶变化观察[J].现代实用医学,2016,28(4):495-496.
[13]杨波平.婴幼儿轮状病毒肠炎的心肌酶谱变化和临床特点分析[J].现代诊断与治疗,2015,26(18):4227-4228.
[14]朱乾乾.轻型胃肠炎伴婴幼儿良性惊厥的临床特点研究[D].吉林:吉林大学,2016.
[15]杨波平.婴幼儿轮状病毒肠炎的心肌酶谱变化和临床特点分析[J].现代诊断与治疗,2015,26(18):4227-4228.
[2]超超,梁亚峰,潘国权,等.轻度胃肠炎伴婴幼儿良性惊厥的临床分析及随访研究[J].中国当代儿科杂志,2017,19(11):1191-1195.
[3]胡泽华,黄玲玲,何康成,等.轻度胃肠炎伴良性婴幼儿惊厥147例临床分析[J].中国医药科学,2016,6(20):73-75,82.
[4]邹小杰,高峰.轻度胃肠炎伴婴幼儿良性惊厥研究进展[J].全科医学临床与教育,2015,13(5):539-541.
[5]卢乐声,徐智芳,白星,等.轻度胃肠炎伴良性婴幼儿惊厥肠道微生物改变的研究[J].中华全科医学,2018,16(05):802-804.
[5]肖艺,龙喻,刘瑛.轻度胃肠炎伴婴幼儿良性惊厥与热性惊厥血清和脑脊液锌水平比较[J].临床和实验医学杂志,2017,16(22):2265-2267.
[6]杜自强,周进苏,向秋莲.轻度胃肠炎伴良性婴幼儿惊厥患儿的肠道微生物检测及部分肠黏膜屏障指标观察[J].山东医药,2017,57(43):74-76.
[8]黄先萍,刘可心.轻度胃肠炎伴婴幼儿良性惊厥68例临床观察[J].西南医科大学学报,2017,40(4):417-418.
[9]李万顺,石广青,江波.轻度胃肠炎伴良性婴幼儿惊厥的临床治疗体会[J].中国实用神经疾病杂志,2016,19(14):93-94.
[10]邹小杰,高峰,徐震,等.轻度胃肠炎伴婴幼儿良性惊厥患儿细胞因子的研究[J].中国乡村医药,2017,24(12):6-7.
[11]陈俊国,吴鸣,张旭,等.轻度胃肠炎伴婴幼儿良性惊厥患儿脑脊液中S-100β蛋白、MBP、NSE变化的相关性研究[J].中华全科医学,2017,15(6):986-988.
[12]余艳妹.小儿轮状病毒肠炎心肌酶变化观察[J].现代实用医学,2016,28(4):495-496.
[13]杨波平.婴幼儿轮状病毒肠炎的心肌酶谱变化和临床特点分析[J].现代诊断与治疗,2015,26(18):4227-4228.
[14]朱乾乾.轻型胃肠炎伴婴幼儿良性惊厥的临床特点研究[D].吉林:吉林大学,2016.
[15]杨波平.婴幼儿轮状病毒肠炎的心肌酶谱变化和临床特点分析[J].现代诊断与治疗,2015,26(18):4227-4228.