小儿手足口病与轮状病毒性肠炎心肌酶及心电图检查的意义

The significance of myocardial enzymes and electrocardiogram examination for hand-foot-mouth disease and rotavirus enteritis

目的探讨心肌酶及心电图检查在诊断小儿手足口病与轮状病毒性肠炎中的临床意义。方法选择小儿手足口病与轮状病毒性肠炎各40例,行心肌酶检测并统计出现心电图异常的种类和比例。结果手足口病组肌酸激酶(CK)和肌酸激酶同工酶(CK-MB)水平高于轮状病毒腹泻组(P<0.05),轮状病毒感染组出现ST-T改变和房室传导阻滞的比率显著低于手足口病组(P<0.05)。结论手足口病相对于轮状病毒感染患儿心肌损伤较为明显,通过心电图检查能更明确的诊断心肌损伤。

Objective To explore the significance of myocardial enzymes and electrocardiogram examination for hand- foot-mouth disease and rotavirus enteritis. Methods Forty patients with hand-foot-mouth disease and anther forty pa- tients with rotavirus enteritis were selected, and all patients were given myocardial enzymes and electrocardiogram ex- amination, then analyzed the abnormal electrocardiogram type and proportion. Results Creatine kinase （CK） and Creatine kinase isoenzyme （CK-MB） levels of hand-foot-mouth disease group were higher than rotavirus diarrhea group （P 〈 0.05）, ST-T change and atrioventricular block ratio of rotavirus infection group were lower than hand-foot-mouth disease group （P 〈 0.05）. Conclusion Myocardial damage is more obvious in hand-foot-mouth disease than rotavirus enteritis and combined with electrocardiogram examination to diagnosis myocardial injury can display the results more clearly.