麻疹患者心肌酶检测的临床意义

目的探讨麻疹患者心肌酶异常的临床意义。方法对188例住院麻疹患者的临床资料进行回顾分析。结果成人麻疹心肌酶谱异常与儿童心肌酶谱异常存在差异(P<0.01);麻疹发热期与出疹期心肌酶谱异常比较差异无统计学意义(P>0.05);发热期与恢复期、出疹期与恢复期比较,差异有统计学意义(均P<0.01);麻疹患者心肌酶谱异常与心电图异常无明显相关性;麻疹患者极化液治疗组与观察组心肌酶恢复情况无差异。结论①儿童麻疹患者的心肌损害较成年麻疹患者更普遍,故心肌酶的监测对儿童麻疹患者的临床意义更大。②麻疹患者心肌损害的出现多发生在发热期、出疹期,一定程度上与麻疹患者的病情成正相关,可以反映麻疹病情的临床进展。③麻疹患者心肌酶升高到严重程度时才会出现心电图的异常改变。④麻疹患者的心肌损害随着病情的恢复有自愈趋势。

The clinical significance of myocardial enzymes in measles patients

Objective To explore the clinical significance of myocardial enzymes in measles patients.Methods Making correlation analysis with hospital clinical data from the 188 cases of measles patients in 2011.1-2011.5.Results Adults measles and children measles differ in condition of abnormal myocardial enzymes;abnormal myocardial enzymes differences between patients in feve period,rash period and patients in recovery period;abnormal myocardial enzymes in measles patients has no correlation with abnormal ECG.There is no difference between measles polarization liquid treatment group and observation group in myocardial enzyme recovery.Conclusion Myocardial damage in children measles patients seems more common than adult measles patients,then the monitoring of myocardial enzymes has larger clinical significance to children measles patients;Measles patients myocardial damage usually occurs in fever and rash period,to some extent,it has positive correlation with the condition of measles patients;also it can reflect the clinical progress of measles;Measles patients with severe myocardial enzymes can lead to the appear of ECG abnormalities appear;4.The myocardial injury in measles patients has self-healing recovery trend.