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目的:对重症手足口病并发心血管损害患儿的治疗方法和治疗效果进行观察和探讨。方法:采用随机数表法选择50例于2012年5月至2013年9月间在我院进行重症手足口病并发心血管损害治疗的患儿资料进行研究和分析,将全部患儿分为治疗组和对照组两组,每组分别有25例,对全部患儿进行常规治疗,在常规治疗的基础上对治疗组患儿进行米力农联合治疗,对两组患儿的临床治疗效果进行比较。结果:治疗组18例患儿获得治愈,6例患儿治疗有效,1例患儿治疗无效,治疗总有效率为96%,对照组14例患儿获得治愈,7例患儿治疗有效,4例患儿治疗无效,治疗总有效率为84%,两组患儿治愈率以及治疗总有效率差异均具有统计学意义(P<0.05)。两组患儿治疗前心肌酶、心率以及血压差异不具有统计学意义(P>0.05),治疗后差异具有统计学意义(P<0.05)。结论:对重症手足口病并发心血管损害患儿进行常规治疗联合米力农治疗临床疗效更加显著,能够使患儿心肌酶、心率以及血压恢复正常,推动患儿的正常生长和发育。
Objective: To observe and discuss the treatment and treatment of severe hand-foot-mouth disease in children with cardiovascular damage. Methods: The data of 50 children with severe HFMD complicated with cardiovascular damage treated in our hospital from May 2012 to September 2013 were selected and analyzed by random number table. All children were divided into treatment Group and control group, with 25 cases in each group. All the patients were treated routinely. Based on the routine treatment, Milinong combined treatment was given to children in the treatment group. The clinical effects of the two groups were compared Compare Results: 18 cases were cured in the treatment group, 6 cases were effective in treatment, 1 case was ineffective, the total effective rate was 96%, 14 cases in the control group were cured, 7 cases were effective, 4 Cases of children with ineffective treatment, the total effective rate was 84%, two groups of children cure rate and the total effective rate difference was statistically significant (P <0.05). There was no significant difference in myocardial enzyme, heart rate and blood pressure between the two groups before treatment (P> 0.05), and the difference was statistically significant after treatment (P <0.05). Conclusion: The clinical curative effect of combined treatment with Milinone in children with severe hand-foot-mouth disease complicated by cardiovascular damage is even more significant. It can restore normal myocardial enzymes, heart rate and blood pressure in children and promote the normal growth and development of children.