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目的通过分析A群轮状病毒肠炎儿童并发脱水的年龄分布特点,指导临床治疗。方法收集2012年10月至2013年3月于清远市人民医院儿科门诊就诊或住院部治疗,以消化道症状表现为主且大便A群轮状病毒检查阳性患儿共404例,依据年龄分为5组(≤12个月、12~个月组、18~个月组、24~个月组、3~14岁组),分别记录各组脱水发生率。结果≤12个月组脱水发生率为7.7%;12~个月组脱水发生率为25.0%;18~个月组脱水发生率为12.6%;24~个月组脱水发生率为7.3%;3~14岁组脱水发生率为3.6%。12~个月组脱水发生率最高,18~个月组次之,3~14岁组(年长儿组)脱水发生率最低,各组脱水率发生比较差异有统计学意义(χ2=19.696,P=0.001)。结论儿童A群轮状病毒肠炎在12~18个月年龄段易于并发脱水,临床应引起重视。
Objective To analyze the age distribution characteristics of children with rotavirus A in group A complicated with dehydration to guide the clinical treatment. Methods From October 2012 to March 2013, 404 pediatric outpatients or inpatients were treated in Qingyuan People’s Hospital. 404 patients were positive for gastrointestinal symptoms and positive for stool group A rotavirus. The incidence of dehydration was recorded in 5 groups (≤12 months, 12 months, 18 months, 24 months, 3 ~ 14 years old). Results The incidence of dehydration was 7.7% in ≤12 months, the incidence of dehydration in 12 months was 25.0%, the incidence of dehydration in 12 months was 12.6%, and the incidence of dehydration was 7.3% in 24 months. The dehydration rate in the ~ 14-year-old group was 3.6%. The incidence of dehydration was the highest in 12 ~ month group, the lowest in 18 ~ month group, the lowest in dehydration rate in 3 ~ 14 year old group (χ2 = 19.696, P = 0.001). Conclusion A group of children with rotavirus enteritis in 12 to 18 months of age prone to dehydration, clinical should pay attention.