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重症肺炎儿童治疗前后心肌酶谱、肌钙蛋白和C反应蛋白的变化 被引量:4

Changes of myocardial enzymes, troponin and C reactive protein in children with severe pneumonia before and after treatment
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摘要 目的研究重症肺炎儿童治疗前后心肌酶谱、肌钙蛋白和C反应蛋白的变化。方法选择2015年1月~2016年6月间我院收治的肺炎患儿60例,按患儿病情分为重症组23例和轻症组37例,另选取我院体检的健康患儿32例作为对照组,将两组患儿治疗前后心肌酶谱、肌钙蛋白和C反应蛋白与对照组进行对比分析。结果治疗前重症组与轻症组的心肌酶谱、肌钙蛋白和C反应蛋白水平均明显高于对照组,各组间比较差异有统计学意义(P<0.05);治疗后两组患儿的上述指标均得到明显改善,组间比较无统计学意义(P>0.05)。结论对肺炎患儿进行心肌酶谱、肌钙蛋白和C反应蛋白进行检测,有助于鉴别患儿是否存在心肌损伤及病情严重程度,及时采取对症治疗,提高治愈率。 Objective To study the treatment of severe pneumonia in children of myocardial enzymes, troponin C and C-reactive protein changes. Methods 60 patients with pneumonia in children with the disease from January 2015 to June 2016 in our hospital were selected and divided into severe group with 23 cases and mild group with 37 cases according to patient's condition, at the same time, 32 cases in our hospital health examination were selected as the control group, myocardial enzymes, troponin C and C-reactive protein of the two groups before and after treatment were compared and analyzed with those of control group. Results The myocardial enzyme results before the treatment of severe group and mild group spectrum troponin levels and C reactive protein were significantly higher than the control group, there were significant differences among groups (P 〈 0.05). After treatment, the index of two groups were significantly improved, there were no statistical significance between the two groups (P 〈0.05). Conclusion The detection of myocardial enzymes in children with pneumonia, and troponin C reaction protein can help identify the myocardial damage and severity of the disease, symptomatic treatment should be taken in time to improve the cure rate.
作者 何筝
出处 《中国医药科学》 2017年第19期173-175,共3页 China Medicine And Pharmacy
关键词 儿童重症肺炎 心肌酶谱 肌钙蛋白 C反应蛋白 Severe pneumonia in children Myocardial enzymes Troponin C reactive protein
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