小儿轮状病毒肠炎合并心肌损害的危险因素分析

Analysis of risk factors for pediatric rotavirus enteritis complicated with myocardial damage

目的分析小儿轮状病毒肠炎合并心肌损害的危险因素。方法回顾性分析2017年1月至2017年12月本院收治的56例小儿轮状病毒肠炎患者,根据是否合并心肌损害分为甲组(36例,合并心肌损害组)和乙组(20例,未合并心肌损害组),比较两组临床资料、生化检查指标,总结轮状病毒患儿合并心肌损害的危险因素。结果单因素分析年龄、腹泻、高热、脱水、电解质紊乱、酸中毒、心电图异常等7个因素影响RV肠炎合并心肌损害发生,经多因素分析影响因素为年龄、酸中毒、脱水以及电解质紊乱。结论年龄≤1岁、脱水、电解质紊乱以及酸中毒为小儿轮状病毒肠炎合并心肌损伤的高危因素,针对小于1岁患儿脱水治疗同时,应注意观察是否合并心肌损伤,若有必要结合心脏仪器检查,及时采取措施保护患儿心肌功能。

Objective To analyze the risk factors of pediatric rotavirus enteritis with myocardial damage.Methods A retrospective analysis of 56 children with rotavirus enteritis admitted to our hospital from January 2017 to December 2017 was divided into two groups according to whether or not combined with myocardial damage.Group A(36 cases patients,with myocardial damage),group B(20 cases patients,combined with myocardial injury group),the clinical data and biochemical examination indexes of the two groups were compared,and the risk factors of myocardial damage in children with rotavirus were summarized.Results Seven factors including age,diarrhea,hyperthermia,dehydration,electrolyte imbalance,acidosis,and abnormal electrocardiogram affected RV enteritis with myocardial damage.The factors influencing multivariate analysis were age,acidosis,dehydration,and electrolyte imbalance.Conclusion Age≤1 year old,dehydration,electrolyte imbalance and acidosis are risk factors for pediatric rotavirus enteritis with myocardial injury.For dehydration treatment of children less than 1 year old,attention should be paid to whether myocardial injury is combined.If necessary,combined with cardiac instrumentation,check and take timely measures to protect the myocardial function of children.