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目的探讨心电图监测及心肌指标检测在小儿病毒性肺炎中的临床应用价值。方法将2015年6月—2016年5月于瑞安市人民医院进行治疗的90例小儿病毒性肺炎患者根据肺炎严重程度分为普通组和重症组,同期选取我院健康体检儿童作为对照组。普通组患儿43例,其中男23例,女20例,平均年龄(2.8±1.3)岁;重症组患儿47例,其中男25例,女22例,平均年龄(2.7±1.4)岁;对照组儿童40例,其中男20例,女20例,平均年龄(2.6±1.3)岁。2组病毒性肺炎患儿治疗时间为7 d,比较3组儿童治疗前、后心电图(ECG)监测及血清心肌指标肌酸激酶(CK)、肌酸激酶同工酶(CK-MB)、肌钙蛋白T(CTn T)的差异。结果治疗前,普通组患儿有62.79%ECG存在异常,重症组患儿有87.23%ECG存在异常,普通组及重症组CK、CK-MB、CTn T水平均显著高于对照组(P<0.05),且重症组CK、CK-MB、CTn T水平均明显高于普通组(P<0.05);治疗后,普通组及重症组患儿ECG多数恢复,CK、CK-MB、CTn T水平均较治疗前显著降低(P<0.05),普通组CK、CK-MB、CTn T水平基本接近于对照组水平(P>0.05),重症组患儿CK、CK-MB、CTn T水平仍明显高于普通组及对照组(P<0.05)。结论病毒性肺炎患儿存在ECG异常及心肌指标水平异常升高,对病毒性肺炎患儿进行心电图监测及心肌指标检测有助于疾病的诊断及预测心肌损害严重程度。
Objective To investigate the clinical value of ECG monitoring and myocardial index detection in children with viral pneumonia. Methods Ninety children with viral pneumonia who were treated in Ruian People’s Hospital from June 2015 to May 2016 were divided into general group and severe group according to the severity of pneumonia. Meanwhile, healthy children in our hospital were selected as the control group. There were 43 children in the general group, including 23 males and 20 females, with an average age of (2.8 ± 1.3) years; 47 males and 25 females, 22 females with an average age of 2.7 ± 1.4 years; Control group of 40 children, including 20 males and 20 females, mean age (2.6 ± 1.3) years old. The treatment time of the two groups of children with viral pneumonia was 7 days. The electrocardiogram (ECG) and serum creatinine (CK), creatine kinase (CK-MB), muscle Differences in calpain T (CTn T). Results Before treatment, there were 62.79% ECG abnormalities in the general group and 87.23% ECG in the severe group. The levels of CK, CK-MB and CTn T in the common group and the severe group were significantly higher than those in the control group (P <0.05 ), And the levels of CK, CK-MB and CTn T in severe group were significantly higher than those in normal group (P <0.05). After treatment, most of the ECG in normal group and severe group recovered, CK, CK-MB and CTn T The levels of CK, CK-MB and CTn T in the common group were basically the same as those in the control group (P> 0.05), while those in the severe group were still significantly higher than those in the control group In normal group and control group (P <0.05). Conclusions There is abnormal ECG and abnormal myocardium in children with viral pneumonia. ECG monitoring and myocardial index detection in children with viral pneumonia are helpful to diagnose the disease and predict the severity of myocardial damage.