脑苷肌肽辅助治疗重症手足口病的临床疗效观察
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李华河

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R512.5

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Clinical therapeutic effect of cattle encephalon glycoside and ignotin on adjunctive treatment of severe handfootandmouth disease
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    摘要:

    目的探讨脑苷肌肽辅助治疗重症手足口病的临床疗效。方法选取某院重症手足口病患儿94例,根据患者住院号尾数的奇偶性将其分为两组,其中对照组(46例):给予常规治疗;试验组(48例):在常规治疗基础上给予脑苷肌肽辅助治疗,对比两组治疗效果。结果治疗总有效率:试验组为95.83%,对照组为76.09%,试验组高于对照组(χ2=16.81,P<0.001)。治疗前,两组患儿神经功能评分比较,差异无统计学意义(P>0.05);治疗后,试验组患儿神经功能评分为(4.07±0.13)分,低于对照组的(5.59±0.18)分,差异有统计学意义(χ2=18.19,P<0.05)。试验组患儿体温、心率、血压、呼吸恢复时间及住院时间均短于对照组(P<0.05);试验组并发症发生率为4.17%(2例),低于对照组的21.74%(10例)(χ2=10.08, P<0.001)。对照组6例(13.04%)转为危重症,试验组1例(2.08%),试验组转为危重症的比例低于对照组(χ2=8.94, P<0.001)。结论脑苷肌肽辅助治疗重症手足口病疗效显著,可有效改善患儿临床症状,值得推广应用。

    Abstract:

    ObjectiveTo explore clinical therapeutic effect of cattle encephalon glycoside and ignotin (EGI) on adjunctive therapy of severe handfootandmouth disease (HFMD). Methods94 children with severe HFMD in a hospital were selected and divided into two groups according to the parity of patients’  admission numbers, 46 children in control group were given conventional therapy; 48 children in trial group were given EGI adjunctive therapy based on conventional therapy, therapeutic effect of two groups was compared. ResultsThe total therapeutic effective rate in trial group was significantly higher than that of control group (95.83% vs 76.09%, χ2=16.81,P<0.001). Neurological function score was not significantly different between two groups before therapy(P>0.05); after therapy, neurological function score in trial group was significantly lower than control group ([4.07±0.13] vs [5.59±0.18], χ2=18.19,P<0.05). The recovery time of temperature, heart rate, blood pressure, and breathing,as well as  length of stay in hospital in trial group were all significantly shorter than control group(P<0.05);incidence of complications in trial group was lower than control group (4.17%[n=2] vs 21.74%[n=10],χ2=10.08, P<0.001). The proportion of turning into critically ill cases in trial group was significantly lower than control group (2.08% [n=1]vs 13.04%[n=6], χ2=8.94, P<0.001).ConclusionEGI has remarkable efficacy in adjunctive therapy of severe HFMD, which can effectively improve clinical symptoms, and  is worthy to be  popularized and applied.

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李华河,魏玉.脑苷肌肽辅助治疗重症手足口病的临床疗效观察[J]. 中国感染控制杂志,2015,14(9):604-607. DOI:10.3969/j. issn.1671-9638.2015.09.007.
LI Huahe, WEI Yu. Clinical therapeutic effect of cattle encephalon glycoside and ignotin on adjunctive treatment of severe handfootandmouth disease[J]. Chin J Infect Control, 2015,14(9):604-607. DOI:10.3969/j. issn.1671-9638.2015.09.007.

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  • 收稿日期:2014-10-12
  • 最后修改日期:2014-12-26
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  • 在线发布日期: 2015-09-30
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