摘要
目的研究重型及危重型手足口病早期的监测项目,探讨其早期预警指标。方法对武鸣县妇幼保健院及广西医科大学第三附属医院儿科门诊及住院诊治的1123例手足口病患者早期进行监测,分析普通型手足口病患者与重型及危重型手足口病患者的年龄、热度、热程、神经系统症状、血常规、血糖等指标,比较普通型与重型及危重型检测指标的区别。结果①1123例患者中有128例重型及危重型手足口病,其中危重型手足口病15例,死亡6例。②995例普通型手足口病患者的平均年龄大于128例重型及危重型患者(P<0.01),而普通型手足口病患者的热度及热程也低于重型及危重型患者(P<0.01)。③普通型手足口病患者中出现神经系统症状的患者比例(10.75%)小于重型及危重型患者(61.72%),重型及危重型手足口病患者血常规中性粒细胞比例及血糖水平也高于普通型(P<0.01)。结论重型及危重型手足口病患者的高危因素有:年龄偏小、热度高、出现神经系统症状及高中性粒细胞、高血糖等,临床上应注意防护。
Objective To study early warning and monitoring on items of severe and critical hand, foot and mouth disease（HFMD） and to investigate the early warning indicators. Methods Nalysis was conducted on 1123 HFMD cases treated in Departments of Pediatrics of Maternal and Child Health Hospital of Wuming and The third Affiliated Hospital of Guangxi Medical University from October 2008 to May 2012. Comparative study was applied on ordinary type HFMD cases and patients with severe ＆ critical danger. Indexes including their age, heat, thermal process, nervous system symptoms（NSS）, blood routine, blood glucose were analyzed to compare these two types of HFMD. Results （1）128 out of 1123 cases suffered from severe ~. critical HFMD, among which there were 15 critical cases and 6 cases died. （2） The average age of the 995 cases with ordinary HFMD was elder than that of 128 cases with severe ＆ critical HFMD（ P 〈0.01）. But the heat and thermal process of ordianry HFMD patients were both lower than that of severe ＆ critical patients. （3）The rate of ordinary HFMD patients with nervous system symptoms （NSS） was 10.75 %, also lower than that of severe ＆. critical patients（61.72% ）. Besides, the severe and critical cases had higher blood neutrophils and blood glucose than the ordinary cases did. Conclusion Risk factors of severe ＆ critical HFMD patients include young age,high heat,NSS,high blood neutrophils and high blood sugar. All these factors should be noted in clinical practice.
出处
《右江医学》
2012年第6期801-803,共3页
Chinese Youjiang Medical Journal
关键词
手足口病
重型
危重型
预警指标
hand foot and mouth disease（HFMD）
severe HFDM
critical HFMD
warning indexes
