血糖监测对小儿手足口病病情和预后判断的价值分析

目的探讨血糖监测对小儿手足口病病情和预后判断的价值。方法检测了687例手足口病患儿(属于一般病例者204例,占29.69%,II期重症病例452例,占65.79%,III期病危者31例,占4.51%)入院时的空腹静脉血糖,并对所有病例住院过程中的血糖进行动态监测。分析不同病期患儿血糖检测结果、血糖检测值与病情相关性及血糖监测值与疾病预后之间的关系。结果①II期和III期病例在入院初期空腹血糖明显高于一般病例,分别为7.34±2.22mmol/L,16.54±5.33mmol/L和5.75±1.31mmol/L,差异有统计学意义(P<0.01);②在不同程度血糖升高组中,随着病情的加重,血糖检测值升高的程度越明显(P<0.01);③血糖升高组患儿平均住院日(7.1±2.5天)明显长于血糖正常组(4.1±1.2天)(P<0.01),出现后遗症的病例前者也明显多于后者(P<0.05),差异均有统计学意义。结论血糖监测在判断小儿手足口病病情变化和预后方面有着非常重要的意义。对于血糖短期内明显升高者应严密观察,及早进行干预,可部分阻止病情的进行性恶化。

The analysis of significance in blood glucose monitoring for children with hand-foot-and-mouth disease

Objective To research the the significance of blood glucose monitoring for pediatric patients with hand-foot-and-mouth disease. Methods Tested blood glucose of 687 pediatric patients with hand-foot-and-mouth disease on admission when fasting.Conducted active monitoring of blood glucose for all cases during treatment period in hospital. Analyzed the blood glucose test result of patients for different time period, and also the relationship between blood glucose index and prognosis of hand-foot-and -mouth dise...