小儿轮状病毒感染致秋季腹泻102例临床特点

The diarrhea caused by rotavirus infection in children:a analysis of 102 cases

目的探讨小儿轮状病毒感染导致的秋季腹泻的临床特点。方法收集来我院进行治疗的秋季腹泻患儿223例,其中由轮状病毒感染导致的患儿有102例作为观察组;由非轮状病毒感染导致的患儿121例,作为对照组。对两组的治疗效果进行对比分析。结果对两组患儿不同性别进行比较,差异无统计学意义(P>0.05)。在观察组中6个月～2岁的患儿占较大的比例,约为81.37%,>2岁患儿所占比例较少,仅为2.94%,对照组分别为57.02%、17.36%,两组比较差异有统计学意义(P<0.05)。对两组患儿的临床症状进行比较,如发热、呕吐、脱水、惊厥及其肠梗阻无统计学意义(P>0.05)。观察组中发生酸中毒的比例及发生CK-MB升高的比例与对照组比较差异有统计学意义(P<0.05或P<0.01)。结论秋季腹泻患儿如果其发病因素为轮状病毒感染所致则具有一定的临床特点,医务人员可依此及其发病的具体机制制定相应的治疗方案。

Objective To investigate the clinical features of fall diarrhea that caused by rotavirus infection in children. Methods All of 223 cases with diarrhea fall were divided into two groups, 102 cases that infections caused by rotavirus treated as observation group; 121 cases that infections by non-rotavirus infections treated as control group. The therapeutic effect of two groups were compared. Results Compared different gender in two groups, it was no significant difference （P 〉 0.05）. Children of 6 months to 2 years in the observation group account for a large proportion,it was about 81.37%,the pro-portion of children of above 2 years was less, it was only 2.9g%,which in the control group were 57.02%, 17.36%, there were significant differences between two groups （P 〈 0.05）. Compared the clinical symptoms of two groups, there were no significant difference in fever, vomiting, dehydration, convulsions and intestinal obstruction（P 〉 0.05）. Compared with con- trol group, the proportion of acidosis and elevated CK-MB in observation group had significant difference （P 〈 0.05 or P 〈 0.01）. Conclusion If the incidence of diarrhea in autumn factors for rotavirus infection is caused by certain cIinical characteristics, medical staff and its incidence can be so specific mechanism of the development of treatment programs to win.