1,6-二磷酸果糖及家庭协同干预对小儿病毒性心肌炎康复效果的影响

Effect of 1,6 Fructose Diphosphate and Family Cooperative Intervention on the Rehabilitation Effect of Viral Myocarditis in Children

目的探讨1,6-二磷酸果糖及家庭协同干预对小儿病毒性心肌炎康复效果的影响.方法选取2019年1月—2020年12月于该院进行治疗的病毒性心肌炎患儿60例为研究对象,随机分为两组,各30例.对照组采用常规治疗,研究组在对照组基础上联合1,6-二磷酸果糖治疗,同时采用家庭协同干预.对比两组患儿的临床疗效、干预前后心功能及心肌酶谱水平、心电图、心肌酶谱、主要体征、主要症状恢复正常时间.结果干预后,研究组总有效率96.7%高于对照组的76.7%,差异有统计学意义(P<0.05).干预后,两组患儿的心脏指数(cardiac index,CI)及射血分数(ejection fraction,EF)均优于各组干预前,且研究组上述指标水平优于对照组,组间差异有统计学意义(P<0.05).干预后,两组的各项心肌酶谱指标水平均优于各组干预前,且研究组的各项心肌酶谱指标水平均优于对照组,组间差异有统计学意义(P<0.05).研究组的心电图、心肌酶谱、主要体征、主要症状恢复正常时间均短于对照组,组间差异有统计学意义(P<0.05).结论病毒性心肌炎患儿采用1,6-二磷酸果糖治疗,可以更好地缓解其症状和体征,改善其心功能,同时采用家庭协同干预可以让家属更好地参与管理,通过各方的合作和协同给予患儿更好的护理和治疗,促进其恢复健康.

Objective To explore the effect of 1,6 fructose diphosphate and family cooperative intervention on the rehabilitation effect of children with viral myocarditis.Methods A total of 60 children with viral myocarditis who were treated in this hospital from January 2019 to December 2020 were selected as the research objects,and they were randomly divided into two groups with 30 cases in each group.The control group was treated with conventional treatment,and the study group was combined,with 1,6 fructose diphosphate on the basis of the control group,and at the same time,family intervention was used.The clinical efficacy,cardiac function and myocardial enzyme spectrum level before and after intervention,electrocardiogram,myocardial enzyme spectrum,main signs and main symptoms returned to normal were compared between the two groups.Results After the intervention,the total effective rate of the study group was 96.7%,which was higher than 76.7%of the control group,and the difference was statistically significant(P<0.05).After the intervention,the cardiac index(CI)and ejection fraction(EF)of the two groups of children were better than those before the intervention,and the levels of the above indicators in the study group were better than those of the control group,and the differences between the groups were statistically significant(P<0.05).After the intervention,the levels of the myocardial zymograms of the two groups were improved compared with those before the intervention,and the improvement of the myocardial zymograms of the study group were better than those of the control group,and the differences between the groups were statistically significant(P<0.05).The recovery time of electrocardiogram,myocardial enzyme spectrum,main signs,and main symptoms of the study group were shorter than those of the control group,and the differences between the groups statistically significant(P<0.05).Conclusion The use of 1,6 fructose diphosphate can better alleviate the symptoms and signs of viral myocarditis in children,and improve the heart function of the children.At the same time,the use of family cooperative intervention can allow their families to better participate in the management.The cooperation and coordination of the parties provide better care and treatment to the children,and promote the recovery of the children's health.