世界最新医学信息文摘（电子版）
世界最新醫學信息文摘（電子版）
세계최신의학신식문적（전자판）
World Latest Medicine Information
2013年
14期
59-59,79
,共2页
重症手足口病%超敏C反应蛋白%心肌损害%肌酸激酶同工酶
重癥手足口病%超敏C反應蛋白%心肌損害%肌痠激酶同工酶
중증수족구병%초민C반응단백%심기손해%기산격매동공매
severe hand-foot-mouth disease%high sensitive C reactive protein%myocardial damage%creatine kinase isoenzyme
目的观察重症手足口病患儿治疗前后超敏C反应蛋白（hs-CRP）及肌酸激酶同工酶（CK-MB）的变化并探讨其临床意义。方法分别检测25例重症手足口病和30例手足口病普通病例治疗前后的hs-CRP和CK-MB水平。结果手足口病重症病例组与普通组比较，治疗前hs-CRP和 CK-MB明显增高，差异有统计学意义（P<0.01）。而治疗后则相差不明显，差异无明显统计学意义（P>0.05）。结论重症手足口病治疗前hs-CRP、CK-MB显著高于普通手足口病患儿，而治疗后则相差不明显，对于指导临床治疗及诊断心肌损害有重要意义，hs-CRP、CK-MB显著异常有助于提示重症手足口病。
目的觀察重癥手足口病患兒治療前後超敏C反應蛋白（hs-CRP）及肌痠激酶同工酶（CK-MB）的變化併探討其臨床意義。方法分彆檢測25例重癥手足口病和30例手足口病普通病例治療前後的hs-CRP和CK-MB水平。結果手足口病重癥病例組與普通組比較，治療前hs-CRP和 CK-MB明顯增高，差異有統計學意義（P<0.01）。而治療後則相差不明顯，差異無明顯統計學意義（P>0.05）。結論重癥手足口病治療前hs-CRP、CK-MB顯著高于普通手足口病患兒，而治療後則相差不明顯，對于指導臨床治療及診斷心肌損害有重要意義，hs-CRP、CK-MB顯著異常有助于提示重癥手足口病。
목적관찰중증수족구병환인치료전후초민C반응단백（hs-CRP）급기산격매동공매（CK-MB）적변화병탐토기림상의의。방법분별검측25례중증수족구병화30례수족구병보통병례치료전후적hs-CRP화CK-MB수평。결과수족구병중증병례조여보통조비교，치료전hs-CRP화 CK-MB명현증고，차이유통계학의의（P<0.01）。이치료후칙상차불명현，차이무명현통계학의의（P>0.05）。결론중증수족구병치료전hs-CRP、CK-MB현저고우보통수족구병환인，이치료후칙상차불명현，대우지도림상치료급진단심기손해유중요의의，hs-CRP、CK-MB현저이상유조우제시중증수족구병。
Objective To analyze the distribution and drug resistance of urinary tract infection pathogens,guide rational drug and provide reference and basis for the management of hospital infection.Method midstream urine specimens of 100 urinary tract infection patients were collected for bacterial culture,bacterial identification and in vitro drug resistance monitoring were isolated pathogens.pathogens separated from bacterial culture medium were made a bacterial identification and a drug resistance monitoring in vitro.Results The main pathogen of urinary tract infection were escherichia coli (41%) and enterococci(23%);Escherichia coli had the highest sensitivity to imipenem, while enterococcus had the highest sensitivity to vancomycin.Conclusion Due to heavy use and even abuse of broad spectrum antibiotics in clinical,resistance rates of pathogen gradually raised.Only to make a clean midstream urine bacterial culture and sensitivity test and to analyz the results of the test can guide the rational use of antimicrobial drugs,significantly improve its therapeutic effect in treatment of patients with urinary tract infection.
