小儿轮状病毒感染导致腹泻的临床特征分析

Analysis of clinical characteristics of rotavirus infection in infantile diarrhea

目的分析轮状病毒导致小儿腹泻的临床特征。方法选取2020年1月至2021年7月淄博市妇幼保健院收治的80例腹泻患儿作为研究对象,对患儿的临床资料进行分析,经临床检测,轮状病毒阳性43例、阴性37例,对轮状病毒导致腹泻的临床特征进行分析。结果轮状病毒阳性与阴性患儿在性别方面比较,差异无统计学意义(P>0.05);轮状病毒阳性与阴性患儿在年龄方面比较,差异有统计学意义(P<0.05)。轮状病毒阳性与阴性患儿的发热、脱水、呕吐、肠梗阻、惊厥等症状比较,差异无统计学意义(P>0.05);轮状病毒阳性患儿的酸中毒、肌酸激酶同工酶(CK-MB)水平升高发生率高于轮状病毒阴性患儿(P<0.05)。结论轮状病毒感染导致的小儿腹泻存在一定特点,与患儿的年龄有一定关联,且患儿酸中毒、CK-MB水平上升风险不同,在临床诊治轮状病毒感染的小儿腹泻中具有重要意义。

Objective To analyze the clinical characteristics of rotavirus infection in infantile diarrhea.Methods A total of 80 children with diarrhea in Zibo Maternal and Child Health Hospital from January 2020 to July 2021 were selected as research samples,and the clinical data of the children were analyzed.After clinical testing,there were 43 cases who were positive for rotavirus and 37 cases were negative.The clinical characteristics of diarrhea caused by rotavirus were analyzed.Results There was no significant difference in gender between rotavirus positive and negative children(P>0.05).There was significant difference in age between rotavirus positive and negative children(P<0.05).There were no significant differences in the symptoms of fever,dehydration,vomiting,intestinal obstruction,and convulsion in children with positive and negative rotavirus(P>0.05).The rates of acidosis and creatine kinase isoenzymes(CK-MB)elevation in rotavirus positive children were higher than those in rotavirus negative children(P<0.05).Conclusion Infantile diarrhea caused by rotavirus infection has certain characteristics,which is related to the age of the child,and presents different changes in the risk of acidosis and CK-MB elevation of the child,with great significance in clinical diagnosis and treatment of infantile d iarrhea caused by rotavirus infection.