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目的对小儿手足口病的流行特征与临床指标进行临床分析,观察治疗效果。方法随机选择医院2013年3月-2015年3月接收的小儿手足口病患者136例,并依照病情的严重程度分为试验组35例与对照组101例,试验组属于重症病例,对照组属于一般病例,比较分析2组患儿的临床症状与临床指标。结果试验组各项临床症状,包括皮疹、呕吐、高烧>3d、四肢无力、惊厥、烦躁嗜睡等的病例比例均高于对照组,差异有统计学意义(P<0.05);白细胞、C-反应蛋白水平较对照组高,且X线肺片、心电图、心率、心肌酶、白细胞、超敏C反应蛋白及转氨酶等指标的异常比率也较对照组高,差异均具显著性(P<0.05)。结论及时发现并确诊病情,仔细观察患儿临床症状与临床指标的变化,给予对应的治疗方案,能够提高治愈率,降低并发症率。
Objective To analyze the epidemiological characteristics and clinical indicators of hand-foot-mouth disease in children and observe the therapeutic effect. Methods A total of 136 children with HFMD in our hospital from March 2013 to March 2015 were randomly selected and divided into experimental group (35 cases) and control group (101 cases) according to the severity of the disease. The experimental group belonged to severe cases and the control group belonged to severe cases General cases, comparative analysis of two groups of children with clinical symptoms and clinical indicators. Results The clinical symptoms, including rash, vomiting, high fever> 3d, weakness of the extremities, convulsions, irritability and drowsiness in the experimental group were significantly higher than those in the control group (P <0.05) The protein level was higher than that of the control group. The abnormal ratio of X-ray, electrocardiogram, heart rate, myocardial enzyme, leukocyte, high sensitivity C-reactive protein and aminotransferase were higher than those in the control group (P <0.05) . Conclusion The timely detection and diagnosis of the disease, careful observation of children with clinical symptoms and clinical indicators of change, given the corresponding treatment options, can improve the cure rate and reduce the complication rate.