CAJ | 학술논문

目的：探讨血糖、白细胞及前白蛋白（PA）血清含量变化对于判断手足口病病情的临床意义。方法：选择2010年4月至7月我院收治的手足口病患儿82例为研究对象，根据病情程度分为：重症合并脑炎组52例，普通组为30例，另选取同时期体检正常儿25例为对照组。检测患儿入院后12 h、治疗后7d和对照组体检时血糖、白细胞及前白蛋白含量的动态变化。结果：在重症手足口病患儿中，血糖、白细胞可有一定程度的升高，但与病情严重程度呈正相关，而血清PA明显下降，随着病情逐渐缓解，PA逐渐上升，治疗前后比较，差异有统计学意义。结论：血糖、白细胞、PA对于判断病情程度及评估预后有指导意义。
목적：탐토혈당、백세포급전백단백（PA）혈청함량변화대우판단수족구병병정적림상의의。방법：선택2010년4월지7월아원수치적수족구병환인82례위연구대상，근거병정정도분위：중증합병뇌염조52례，보통조위30례，령선취동시기체검정상인25례위대조조。검측환인입원후12 h、치료후7d화대조조체검시혈당、백세포급전백단백함량적동태변화。결과：재중증수족구병환인중，혈당、백세포가유일정정도적승고，단여병정엄중정도정정상관，이혈청PA명현하강，수착병정축점완해，PA축점상승，치료전후비교，차이유통계학의의。결론：혈당、백세포、PA대우판단병정정도급평고예후유지도의의。
Objective:To observe the changes of serum levels of blood glucose,white blood cells andprealbumin(PA) to determine the severity of il ness of the child patients with HFMD.Methods:April 2010 toJuly in our hospital 82 cases of hand, foot and mouth disease children for the study, according to these verity of diseaseis divided into:52 patients with severe combined encephalitis, normal group, 30 cases of normal physical examination while another selection children 25 cases of the control group.Detectionchildren admit ed to hospital12 h,and the control group after treatment 7d examination of blood glucose,white blood cells and the dynamic changes of prealbumin levels.Results:in Severe HFMD children, blood glucose, white blood cellsmay havein creased to some extent, but the severity was positively correlated,while serum PA decreased significantly, as the disease gradual y ease, PA gradual y increasedafter treatment, the difference statistical y significant.Conclusion:Glucose,white blood cells, PA for judging these verity of disease and assessing prognosis significance.