反复腹痛儿童肠道原虫的检测及临床研究  

The detection and clinical study of children's repeating bellyache and intestinal protozoan infection

作　　者：廖红群[1] 邱伟[2] 王玲[1] 苏水莲[3] 王华彬[1] 陈桂凤[3] 张瑞其[3] 

机构地区：[1]赣南医学院第一附属医院儿科,江西赣州341000 [2]赣南医学院预防医学系,江西赣州341000 [3]赣南医学院病原微生物教研室,江西赣州341000

出　　处：《赣南医学院学报》2010年第6期876-878,共3页JOURNAL OF GANNAN MEDICAL UNIVERSITY

基　　金：赣州市卫生局课题

摘　　要：目的:探讨儿童反复腹痛与肠道原虫感染的关系和相应的治疗。方法:对200例反复腹痛患儿进行肠道原虫的检测并进行相应的治疗。结果:蓝氏贾第鞭毛虫感染率为46%,人芽囊原虫感染率为27%,人毛滴虫感染率为0.5%,隐包子虫感染率为1%,蓝氏贾第鞭毛虫合并双重感染为7%,总感染率为81.5%。通过相应的治疗,总有效率为97.5%。结论:儿童反复腹痛患儿的肠道原虫感染率很高,甲硝唑联合甲氰咪胍治疗蓝氏贾第鞭毛虫及人芽囊原虫,取得了很好的治疗效果。通过肠道原虫的检测,拓宽了反复腹痛儿童病因的检测范围,使治疗更有针对性。Objective：To search and discuss the relation between children＇s repeating bellyache and intestinal protozoan infection and the relevant therapy of them.Methods：Appllied intestinal protozoan test and relevant therapy to 200 outpatients of repeating bellyache.Results：Theinfection rate of Giardia lamblia is 46%,the infection rate of Blastocystis hominis is 27%,the infection rate of trichomonas hominis is 0.5%,the infection rate of Cryptosporidium is 1%,the double infection rate of Giardia lamblia combined other intestinal protozoan is 7%.The total infection rate is 81.5%.The effective cases is 97.5% of relevant therapy cases.Conclusion：The intestinal protozoan infection rate of children＇s repeating bellyache is high.The effect of Giardia lamblia and Blastocystis hominis treated by Metronidazole and cimetidine is very good.Intestinal protozoan test can widen the pathogenic test area of children＇s repeating bellyache and make the therapy more pertinent.

关 键 词：儿童 腹痛 肠道原虫 溶组织内阿米巴 蓝氏贾第鞭毛虫 人毛滴虫 隐包子虫 人芽囊原虫 

分 类 号：R531[医药卫生—内科学]