婴儿轮状病毒性肠炎57例发病特点分析

Analysis of Incidence Characteristics of Rotavirus Enteritis in 57 Infants

目的回顾分析2007年6月至2008年11月我院儿科门诊及住院部轮状病毒性肠炎患儿的发病特点.方法对2007年6月至2008年11月在我院儿科门诊及住院部的57例轮状病毒性肠炎婴儿粪便标本进行常规检查、大便潜血检查、轮状病毒检测,并对12月以下患儿进行喂养情况的调查.结果>6月≤12月内婴儿,轮状病毒性肠炎发病率最高86%,10～12月份为发病高峰.婴儿腹泻程度与喂养方式的比较:母乳喂养组与人工喂养组、混合喂养组与人工喂养组之间比较差异有统计学意义(P<0.05).结论轮状病毒仍是秋冬季婴儿急性腹泻的主要病原,母乳喂养的婴儿尤其6月以下的轮状病毒性肠炎发病率低,并且轮状病毒性肠炎腹泻的程度相对较轻,故应大力提倡母乳喂养.

Objective To investigate incidence characteristics of infantile rotavirus enteritis. Methods 57 infants with rotavirus enteritis in 2007.6 -2008.11 received routine examination, stool occult biood test, rotavirus detection, and the feeding data of infants were collected by questionnaire. Results The highest incidence of rotavirus enteritis was 86% with 6 - 12 months infants. The peak period of infection was between Nov. and Dec. In respect to feeding patterns and diarrhea of infants, there was statistic significance between breast feeding group and artificial feeding group, and artificial feeding group and mixed feeding group （P 〈 0.05）. Conclusions Rotavirus is the main pathogen in infantile diarrhea in fall and winter seasons. There is the lowest incidence in infants under 6 months with breast feeding, and with relatively mild symptoms, and so the breast feeding is recommended.