CAJ | 학술논문

目的：探讨心肌酶检测在婴幼儿RSV肺炎的价值评估。方法选取该院2011年1月-2014年6月住院治疗的婴幼儿肺炎中RSV滴度阳性的患儿180例，同时选取儿童保健门诊64例正常婴幼儿作为对照组，检测他们的心肌酶(乳酸脱氢酶LDH、α-羟丁酸脱氢酶HBDH、磷酸肌酸激酶CK、磷酸肌酸激酶同工酶CK-MB)并进行比较，同时根据病情轻重把RSV肺炎组分为轻症组和重症组，比较两组心肌酶的活性。结果RSV肺炎组的心肌酶活性均显著高于对照组(P<0.05)，RSV肺炎轻症组和重症组的心肌酶活性无明显统计学意义(P>0.05)。结论婴幼儿RSV肺炎患儿存在血清心肌酶活性的增高，但不能据此来诊断存在心肌损害，故临床价值不高，而且不能依据心肌酶的高低来评价RSV肺炎病情的轻重程度。
목적：탐토심기매검측재영유인RSV폐염적개치평고。방법선취해원2011년1월-2014년6월주원치료적영유인폐염중RSV적도양성적환인180례，동시선취인동보건문진64례정상영유인작위대조조，검측타문적심기매(유산탈경매LDH、α-간정산탈경매HBDH、린산기산격매CK、린산기산격매동공매CK-MB)병진행비교，동시근거병정경중파RSV폐염조분위경증조화중증조，비교량조심기매적활성。결과RSV폐염조적심기매활성균현저고우대조조(P<0.05)，RSV폐염경증조화중증조적심기매활성무명현통계학의의(P>0.05)。결론영유인RSV폐염환인존재혈청심기매활성적증고，단불능거차래진단존재심기손해，고림상개치불고，이차불능의거심기매적고저래평개RSV폐염병정적경중정도。
Objective To investigate the cardiac enzymes detect RSV in infants valuation pneumonia. Methods In our hospital in 2011 has pneumonia in hospitalized infants RSV titer positive children 180 cases, while 64 cases selected child health clinic as a control group of normal infants, testing their cardiac enzymes (lactate dehydrogenase LDH,α-hydroxybutyrate dehydrogenaseα-HBDH, creatine kinase CK , creatine kinase isoenzyme CK-MB) and compared, while according to the severity of the RSV pneu-monia group was divided into mild group and severe group were compared myocardial enzyme activity. Results The enzyme activi-ty in RSV pneumonia group were significantly higher (P<0.05), enzyme activity in mild group and severe RSV pneumonia group had no statistically significant (P>0.05). Conclusion RSV pneumonia in infants with elevated serum enzyme activity in the pres-ence, but not pursuant to diagnose the presence of myocardial damage, so the clinical value is not high, and can not be based on the level of cardiac enzymes to evaluate the degree of severity of RSV disease pneumonia.