婴幼儿毛细支气管炎电解质紊乱78例临床分析

目的：探讨婴幼儿毛细支气管炎（简称毛支）的多种电解质变化情况及其与病情的关系和对病程的影响.方法：（1）将78例毛支患儿分为轻症组和重症组,分别测定血清钠、钾、钙、镁、氯离子浓度,并进行对比分析;（2）对78例婴幼儿毛支患儿进行临床评分（Dobson评分）,将该评分与各电解质值进行相关分析;（3）比较电解质紊乱者和电解质正常者的病程长短.结果：（1）婴幼儿毛支可合并多种电解质紊乱;（2）各电解质值均与反映病情程度的Dobson评分呈负相关（P〈0.01）;（3）重症组各电解质值明显低于轻症组（P＜0.01）;（4）电解质紊乱者较电解质正常者病程长（P＜0.01）.结论：婴幼儿毛支可合并多种电解质紊乱,且电解质紊乱程度与病情有相关性,病情越重,电解质紊乱越明显,同时电解质可加重病情;电解质紊乱可延长病程.

Clinical analyzing of the electrolyte disorders in the infants with bronchiolitis

Objective: To investigate the variety of electrolyte in infants with bronchiolitis, the correlation between electrolyte and condition. Methods: (1) Seventy-eight cases of bronchiolitis infants were divided into slight group and severe group, serum sodium ion, potassium ion, calcium ion, magnesium ion, chlorine ion concentration were respectively examinated and made contrast and analysis. (2) Give every infants a clinic score (Dobson score) and made correlative analysis to Dobson score and electrolyte value. (3) Compare length of stay of child with electrolyte disorder and those without electrolyte disorder. Results: (1) Infants with bronchiolitis had polyelectrolyte disorders. (2) Every kind of electrolyte had a negative correlation with Dobson score (P <0. 01). (3) Electrolyte of the severe group were lower than the slight group (P <0. 01). (4) Children with electrolyte disorders had a longer hospital length of stay than those with normal electrolytes (P <0. 01). Conclusion: Electrolyte disorders were common in infants with bronchiolitis, the electrolyte disorders were correlative with condition, the more severe of condition, the more obvious of electrolyte disorders.