不同年龄A群轮状病毒肠炎儿童并发脱水分析

Analysis of dehydration in children with Group A rotavirus enteritis

目的通过分析A群轮状病毒肠炎儿童并发脱水的年龄分布特点，指导临床治疗。方法收集2012年10月至2013年3月于清远市人民医院儿科门诊就诊或住院部治疗，以消化道症状表现为主且大便A群轮状病毒检查阳性患儿共404例，依据年龄分为5组（≤12个月、12一个月组、18一个月组、24～个月组、3～14岁组），分别记录各组脱水发生率。结果≤12个月组脱水发生率为7．7％；12～个月组脱水发生率为25．0％；18～个月组脱水发生率为12．6％；24一个月组脱水发生率为7．3％；3—14岁组脱水发生率为3．6％。12～个月组脱水发生率最高，18。个月组次之，3—14岁组（年长儿组）脱水发生率最低，各组脱水率发生比较差异有统计学意义（x2=19．696，P=0．001）。结论儿童A群轮状病毒肠炎在12～18个月年龄段易于并发脱水，临床应引起重视。

Objective To analyze the clinical significance of dehydration in children with group A rotavirus enteritis. Methods Between October 2012 and March 2013,404 cases of pediatric outpatients or inpatient children with gastrointestinal symptoms and stool-based group A rotavirus-positive in the Qingyuan City People＇s Hospital were analyzed. The patients were divided into five groups （〈~ 12 months, 12- months, 18- months, 24- months and 3-14 years old）. The number of dehydration cases was analyzed. Results The highest dehydration rate was in the 12- months group （X2= 19.696,P〈0.01 ）. The dehydration rate was lowest in the children of 3-14 years old. Conclusions Dehydration was frequently accompanied with group A rotavirus enteritis in the children of 12-18 months old. Special attention should be given to this group of children.