手足口病患儿心肌酶测定及临床意义  

Assays and Clinical Significance of Serum Myocardial Enzymes in Children with Hand,Foot and Mouth Disease

作　　者：胡传奇[1] 马飞燕[1] 

机构地区：[1]泰安市妇幼保健院,山东泰安271000

出　　处：《实用临床医学（江西）》2005年第10期31-32,共2页Practical Clinical Medicine

摘　　要：目的:探讨手足口病(HFMD)患儿心肌酶活性的变化及其临床意义。方法:以40例健康儿童作对照,对62例HFMD患儿行心肌酶及心电图检查,结果异常者加用抗氧化剂治疗后复查。结果:观察组患儿心肌酶活性及心电图异常率均明显高于对照组(P<0.01),结果异常者经相应治疗后复查绝大部分患儿恢复正常。结论:部分HFMD患儿存在程度不同的心肌损害,心肌酶可作为HFMD患儿合并心肌损伤的诊断依据和观察病情及判断预后的有效指标。Objective： To explore the changes of serum myocardial enzymes in the children with hand,foot and mouth disease（ HFMD ） and its clinical significance. Methods：Serum myocardial enzymes and electrocardiogram in 62 cases with HFMD were examined,and 40 health infants were in control group. The laboratory tests above were reexamined after treatments with antioxidizer in the patients with previous abnormal results. Results： The levels of serum myocardial enzymes and abnormal rate of electrocardiogram in the observation group were significantly higher than those in the control group （P〈0.01）. The vast majority of these changes could return to normal after appropriate treatment. Conclusion： There is different degree of myocardial injury in children with HFMD and myocardial enzymes could be used as a valuable indicator for diagnosis,observing tendency,and predicting prognosis of myocardial injury in the children with HFMD.

关 键 词：手足口病 心肌酶 心肌损伤 

分 类 号：R725.4[医药卫生—儿科]