果糖二磷酸钠辅助治疗儿童 RVE 的效果 及对心肌损伤指标的影响
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冯香文,女,住院医师,主要研究方向是临床儿科。

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R 512.5

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Effect of Fructose Diphosphate in Adjuvant Treatment of Children's RVE and its Influence on Myocardial Injury Indexes
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    摘要:

    摘 要目的:探讨果糖二磷酸钠辅助治疗儿童轮状病毒肠炎(RVE)的效果及对心肌损伤指标的影响。 方法:选取 厦门大学附属第一医院杏林分院 2018 年 6 月至 2020 年 6 月期间收治的 93 例 RVE 患儿,根据随机数字表法分为对照组 (46 例)与观察组(47 例)。对照组给予布拉氏酵母菌散治疗,观察组在对照组基础上给予果糖二磷酸钠治疗,观察两组 治疗效果、心肌损伤指标以及不良反应。 结果:观察组患儿治疗总有效率(93.62 %)较对照组高(76.09 %),差异具有统 计学意义(P < 0.05)。治疗前两组患儿的肌酸激酶同工酶 MB(CK–MB)、心肌肌钙蛋白 I(cTnI)以及肌酸激酶(CK) 水平比较,差异无统计学意义(P > 0.05);治疗后观察组患儿的 CK–MB、cTnI 以及 CK 水平低于对照组,差异具有统计 学意义(P < 0.05)。观察组患儿的不良反应发生率(8.52 %)与对照组(13.04 %)比较,差异无统计学意义(P > 0.05)。 结论:果糖二磷酸钠辅助治疗儿童 RVE 可调节心肌损伤指标水平,提高治疗效果,且不增加不良反应。

    Abstract:

    AbstractObjective To explore the effect of sodium fructose diphosphate in adjuvant treatment of children's rotavirus enteritis (RVE) and its influence on myocardial injury indicators. Methods A total of 93 children with RVE admitted to Xinglin Branch of the First Affiliated Hospital of Xiamen University from June 2018 to June 2020 were selected and divided into control group (46 cases) and observation group (47 cases) according to random number table method. The control group was treated with Saccharomyces brassi powder, and the observation group was treated with fructose sodium diphosphate on the basis of the control group. The therapeutic effect, myocardial injury indexes and adverse reactions of the two groups were observed. Results The total effective rate of the observation group (93.62%) was higher than that of the control group (76.9%), and the difference was statistically significant (P < 0.05). There were no significant differences in creatine kinase isoenzyme MB (CK-MB), cardiac troponin I (cTnI) and creatine kinase (CK) levels between the two groups before treatment (P > 0.05). After treatment, the levels of CK-MB, cTnI and CK in the observation group were lower than those in the control group, and the differences were statistically significant (P < 0.05). There was no significant difference in the incidence of adverse reactions between the observation group (8.52%) and the control group (13.4%) (P > 0.05). Conclusion Fructose sodium diphosphate assisted treatment of RVE in children can adjust the level of myocardial injury index, improve the therapeutic effect, and do not increase the adverse reactions.

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  • 收稿日期:2021-09-06
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  • 在线发布日期: 2023-07-14
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