CAJ | 학술논문

目的确诊为无反应性川崎病追加使用静脉丙种球蛋白(IVIG)或加甲泼尼龙治疗，并对其疗效进行研究分析。方法选择本院收治的川崎病患儿676例为研究对象，其中114例患儿符合无反应川崎病的诊断标准，随机分为观察1组、观察2组、观察3组，均为38例，三组患者均给予常规治疗，但丙种球蛋白使用剂量不同，分别为对三组的有效率、并发症等进行比较。结果观察组3的有效率为76.32%，观察组1和观察组2的有效率为97.37%和92.11%；观察组3的并发症率为13.16%，观察组2和观察组1的并发症率为10.53%、10.53%。结论静脉丙种球蛋白或加甲泼尼龙治疗无反应儿童川崎病其疗效可观，在临床上值得应用和推广。
목적학진위무반응성천기병추가사용정맥병충구단백(IVIG)혹가갑발니룡치료，병대기료효진행연구분석。방법선택본원수치적천기병환인676례위연구대상，기중114례환인부합무반응천기병적진단표준，수궤분위관찰1조、관찰2조、관찰3조，균위38례，삼조환자균급여상규치료，단병충구단백사용제량불동，분별위대삼조적유효솔、병발증등진행비교。결과관찰조3적유효솔위76.32%，관찰조1화관찰조2적유효솔위97.37%화92.11%；관찰조3적병발증솔위13.16%，관찰조2화관찰조1적병발증솔위10.53%、10.53%。결론정맥병충구단백혹가갑발니룡치료무반응인동천기병기료효가관，재림상상치득응용화추엄。
Objective No reactive kawasaki disease diagnosed with additional use of intravenous gamma globulin (IVIG) or to add a prednisolone treatment, and to study the curative effect analysis. Methods Choose 676 cases of children with kawasaki disease admit ed in our hospital as the research object, including 114 cases of children with no reaction of kawasaki disease diagnosis standard, were randomly divided into observation group 1 3 groups, observing two groups, observation, are 38 cases, three groups of patients were given conventional treatment, but different ivig dosage, respectively the three groups of ef icient, complications, such as the comparison. Results The effective rate was 76.32%, the observation group 3 group 1 and group 2 the ef ective rate was 97.37% and 92.11%; Observation group 3 complication rate was 13.16%, the observation group and observation group 12 complication rate was 10.53%, 10.53%. Conclusion Intravenous gamma globulin or add a prednisolone treatment response children kawasaki disease its curative ef ect is significant, worthy of application and popularization in clinic.