婴幼儿轮状病毒性肠炎合并心肌损害的临床分析

Clinical Analysis of Myocardial Damage in Children With Rotavirus Enteritis

目的探讨轮状病毒性肠炎患儿血清心肌酶谱的改变及其临床意义。方法选取在我院住院的182例轮状病毒性肠炎患儿作为观察组,同时选择同期120例非轮状病毒性肠炎患儿作为对照组。检测并比较两组治疗前、后的心肌酶谱AST,LDH,CK,CK-MB,α-HBDH的变化。结果观察组急性期心肌酶谱指标AST,LDH,CK,CKMB,α-HBDH的测定值均高于对照组,差异均有统计学意义(P<0.05)。结论轮状病毒感染对心肌有不同程度的损害,早期进行心肌酶谱检测,可及早发现心肌损害,指导临床治疗。

Objective To investigate the change of serum myocardial enzyme spectrum and its clinical significance of infants with rotavirus enteritis. Methods 182 cases of infants with rotavirus enteritis were chosen as observation group, and 120 cases of infants without rotavirus enteritis as the control group.compare the change of the myocardial enzyme spectrum such as AST, LDH, CK, CK-MB, α-HBDH of the observation group and the control group before and after the treatment. Results The measured valve of myocardial enzymes of observation group was higher than the control group. The difference was statistically significant（P〈0.05）. Conclusion Rotavirus infection had different degrees of the myocardial damage, checking the myocardial enzyme spectrum early, which can detect myocardial damage early and guide the treatment.