150例儿童肺炎心肌酶谱的临床分析与中医探讨

目的:通过中西医2方面分析150例支气管肺炎患儿心肌酶谱的变化规律,探讨中医思路,以指导中西医临床。方法:对150例支气管肺炎患儿进行心肌酶谱检测,肌酸激酶(CK)、肌酸激酶同工酶(CK-MB)、乳酸脱氢酶(LDH)及谷草转氨酶(AST),按年龄、体温及病情分组,进行分析支气管肺炎患儿心肌酶谱的变化规律。结果:不同年龄组肺炎患儿血清CK-MB均数比较,经统计学处理有统计学意义,不同年龄组患儿的CK-MB增高比率,经统计学处理有统计学意义,不同体温组患儿CK-MB增高比率,经统计学处理无统计学意义,不同病情组患儿CK-MB增高数比率,经统计学处理有统计学意义。结论:支气管肺炎患儿多数伴有心肌损害,与年龄、病情轻重有相关性,年龄越小或病情重的患儿,心肌损害发生率高,与体温的高低无相关性。为急诊儿科医师分析病情提供参考,为中医从瘀论证儿童支气管肺炎合并心肌损害提供思路与依据。

Clinical Analysis of 150 Children with Pneumonia Myocardial Zymogram and Discussion of Traditional Chinese Medicine

Objective:By analyzing the changes of myocardial enzymes in 150 children with bronchial pneumonia from two aspects of traditional Chinese and western medicine,we explored the ideas of traditional Chinese medicine to guide the clinical practice of traditional Chinese and western medicine.Methods:150 cases of children with bronchial pneumonia were tested for myocardial zymogram,creatine kinase(CK),creatine kinase isoenzyme(CK-MB),lactate dehydrogenase(LDH)and aspartate aminotransferase(AST).Temperature and disease grouping to analyze the changes of myocardial enzymes in children with bronchial pneumonia.Results:The comparison of the mean serum CK-MB in children with pneumonia in different age groups was statistically significant after statistical processing.The increase rate of CK-MB in children of different age groups was statistically significant after statistical processing.The rate of CK-MB increase in children with different body temperature groups was not statistically significant after statistical processing.The increase of CK-MB in children with different disease groups was statistically significant.Conclusion:Most children with bronchial pneumonia are associated with myocardial damage,which is related to age and severity.Younger or older children have a higher incidence of myocardial damage and no correlation with body temperature.To provide a reference for emergency pediatricians to analyze the condition,and to provide ideas and basis for children with bronchial pneumonia complicated with myocardial damage based on TCM demonstration of stasis.