心肌酶和心电图检测在婴幼儿手足口病与轮状病毒性肠炎中的临床应用价值  

Cardiac Kinase Detection and ECG Inspection for Infantile Hand-Foot-Mouth Syndrome and Rotaviral Enteronitis:Clinical Application Value

作　　者：陈梦雅[1] CHEN Meng-ya(Inspection Dept.for Cardiac Function,Gansu Provincial Hospital of TCM,Lanzhou,Gansu 730000)

机构地区：[1]甘肃省中医院心功能检查科,甘肃兰州730000

出　　处：《中国肛肠病杂志》2019年第1期25-26,共2页Chinese Journal of Coloproctology

摘　　要：为探讨心肌酶和心电图检测在婴幼儿手足口病与轮状病毒性肠炎中的临床应用价值,选取2017年5月至2018年6月收治的手足口病与轮状病毒性肠炎患儿68例,将其随机分为试验组和对照组,每组34例。试验组为手足口病患儿,对照组为轮状病毒性肠炎患儿,对比2组患儿心肌酶的检测结果,并对患儿异常心电图种类和比例进行分析。结果显示,试验组患儿肌酸激酶(CK)和肌酸激酶同工酶(CK-MB)水平显著高于对照组(P <0.05);试验组ST-T段改变及房室传导阻滞的比率显著高于对照组(P <0.05)。结果表明,手足口病患儿的心肌损害较重,同时应用心电图检查能够对心肌损害做出明确的诊断,而病毒性肠炎对患儿心肌损害相对于手足口患儿症状较轻。This study was to explore the clinical application value of cardiac kinase(CK)detection and ECG inspection in hand-foot-mouth syndrome(HFMS)and rotaviral enteronitis(RE),enrolled 68cases with above diseases(2017-05-2018-06,in author's hospital)and randomly divided them into control group(34 cases of RE)and trial group(34 cases of HFMS),then compared both groups'CK detection results,analysed abnormal ECG(including kinds and proportion).As resutls,trial group patients'level of CK and CK-MB were significantly higher than control group(P <0.05),and their ST-T segment change and the ratio of AV block did so(P <0.05).Results show that HFMS patients'injuries of cardiac muscle is severer than RE patients'ones;And ECG inspection can confirm the diagnosis for carciac muscle's injuries.

关 键 词：婴幼儿手足口病 轮状病毒性肠炎 心肌酶 心电图 

分 类 号：R725.1[医药卫生—儿科] R540.41[医药卫生—临床医学]