呼吸道感染合并肠炎与单纯肠炎轮状病毒分析

目的 对比分析呼吸道感染合并肠炎与单纯肠炎轮状病毒感染患者资料,探讨呼吸道感染合并肠炎轮状病毒感染率高于单纯肠炎轮状病毒感染率的发病机制.方法 收集2010年11月-2011年3月医院收治的3月龄～5岁腹泻婴幼儿病例782例,其中呼吸道感染合并肠炎153例,采用胶体金法进行(RV)轮状病毒抗原检测.结果 单纯肠炎轮状病毒感染率为39.9％,呼吸道感染合并肠炎轮状病毒感染率为49.0％；11月份单纯肠炎轮状病毒感染率、呼吸道感染合并肠炎轮状病毒感染率是11月至次年3月份中最高的月份,分别为44.5％、54.5％;6月龄～1岁单纯肠炎轮状病毒感染率为44.6％,呼吸道感染合并肠炎轮状病毒感染率为63.2％,随着年龄的增长RV的感染率逐渐下降.结论 呼吸道感染合并肠炎轮状病毒感染率明显高于单纯肠炎轮状病毒感染率.

Rotavirus infections in patients with respiratory tract infections complicated with enteritis and simple enteritis

OBJECTIVE To study the pathogenesis of higher incidence of rotavirus(RV) infections in patients with respiratory tract infections complicated with enteritis than in those with simple enteritis through analyzing the clinical data of the patients with respiratory tract infections complicated with enteritis and the patients with simple enteritis.METHODS A total of 782 cases of diarrhea infants aged from 3 months to 5 years old who were enrolled in our hospital during the period Nov 2010 to Mar 2011,were collected,including 153 cases of respiratory infections complicated with enteritis,the antigen of RV was detected using colloidal gold assay.RESULTS The rate of RV infection in the patients with simple enteritis was 39.9%,the rate of RV infection in patients with the respiratory tract infection complicated with enteritis was 49.0%,the rate of the RV infection in patients with simple enteritis and the rate of the RV infection in the patients with respiratory tract infection complicated with enteritis in Nov the highest during the period of Nov-Mar next year,which were 44.5% and 54.5%,respectively;the rate of the RV infection in the patients aged from six month to 1 year old was 44.6%,and the rate of RV infection in patients with respiratory tract infection complicated with enteritis was 63.2%,the rate of RV infection decreased as the age increased.CONCLUSION The rate of RV infection in the patients with respiratory tract infections complicated with enteritis is significantly higher than those with simple enteritis.