重症手足口病患儿皮疹特点分析  

Analysis of the Characteristics of Rash in Children with Severe Hand-Foot-Mouth Disease

作　　者：殷站茹[1] 王淑华[1] 

机构地区：[1]河北医科大学附属哈励逊国际和平医院,河北衡水053000

出　　处：《河南中医》2016年第3期477-478,共2页Henan Traditional Chinese Medicine

基　　金：河北省衡水市科学技术研究与发展计划项目(编号:13004A)

摘　　要：目的:探讨手足口病患儿的皮疹特点。方法:将86例患儿按照临床表现分为非脓毒症组52例,脓毒症组21例及死亡组13例。对每1例手足口病患儿用标准直尺测量皮疹直径,≤1 mm为针尖样皮疹,>1 mm为米粒样皮疹。结果:非脓毒症组针尖样皮疹15例,米粒样皮疹37例;脓毒症组针尖样皮疹13例,米粒样皮疹8例;死亡组针尖样皮疹13例,米粒样皮疹8例。非脓毒症组与脓毒症组间比较,差异具有统计学意义(P<0.05);非脓毒症组与死亡组比较,差异亦有统计学意义(P<0.05);脓毒症组与死亡组比较,差异无统计学意义(P>0.05)。结论:手足口病合并病毒性脓毒血症患儿皮疹形态多数为不典型的针尖样,可以将皮疹形态作为重症手足口病的预警指标。Objective： To explore the characteristics of rash in children with severe hand-foot-mouth disease（ HFMD）. Methods： According to the clinical manifestations,totally 86 children patients were divided into non-pyaemia group（ 52 cases）,pyaemia group（ 21 cases） and death group（ 13 cases）. The diameter of the rash of each child was measured with standard ruler（ ≤1 mm,needlepoint rash; 〉 1 mm,rice-body rash）. Results： In non-pyaemia group,15 cases were needle-point rash and 37 cases were rice-body rash; in pyaemia group,13 cases were needle-point rash and 8 cases were rice-body rash; in death group,13 cases were needle-point rash and 8 cases were rice-body rash. The difference between non-pyaemia group and pyaemia group as well as that between non-pyaemia group and death group was significant（ P 〈 0. 05）; while the difference between pyaemia group and death group had no statistical significance（ P 〉 0. 05）. Conclusion： Most of the rash morphology in children with HFMD combined with viral pyaemia is atypical needle-point,and the rash morphology can be regarded as an early-warning index for the severe HFMD.

关 键 词：手足口病 脓毒血症 针尖样皮疹 米粒样皮疹 

分 类 号：R259.125[医药卫生—中西医结合]