武汉大学学报(医学版)2024,Vol.45Issue(11) :1386-1390.DOI:10.14188/j.1671-8852.2023.0156

维生素D联合高剂量干扰素在重症手足口病患儿中的应用

Application of vitamin D combined with high-dose interferon in children with severe hand-foot-mouth disease

黄威 章子旭 余海静
武汉大学学报(医学版)2024,Vol.45Issue(11) :1386-1390.DOI:10.14188/j.1671-8852.2023.0156

维生素D联合高剂量干扰素在重症手足口病患儿中的应用

Application of vitamin D combined with high-dose interferon in children with severe hand-foot-mouth disease

黄威 1章子旭 2余海静3
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作者信息

  • 1. 黄冈市中心医院感染科 湖北 黄冈 438000
  • 2. 十堰市人民医院感染科 湖北 十堰 442000
  • 3. 华中科技大学同济医学院附属同济医院感染科 湖北 武汉 430030
  • 折叠

摘要

目的:探究维生素D联合高剂量干扰素在重症手足口病患儿中的应用效果.方法:以 2020年 5月—2023年1月黄冈市中心医院收治的80例重症手足口病患儿为研究对象,依据其入院先后顺序分为两组.对照组40例予以高剂量干扰素治疗,研究组40例在对照组基础上联合补充维生素D.比较两组皮疹、发热、抖动消退时间及疱疹愈合时间,对比两组治疗前后的肝功能及神经功能,评价两组的临床疗效及安全性.结果:研究组的皮疹、发热、抖动消退时间及疱疹愈合时间均短于对照组(P<0.05);治疗后,研究组患儿的血清丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)、神经特异性烯醇化酶(NSE)及中枢神经特异蛋白(S-100β)水平均低于对照组(P<0.05);研究组的治疗总有效率为91.67%,较对照组的73.33%显著升高(P<0.05);两组不良反应比较差异不显著(P>0.05).结论:对重症手足口病患儿应用维生素D联合高剂量干扰素治疗效果显著,能有效缓解患儿的临床症状,改善患儿的肝功能,保护其神经功能,且具有较高的安全性.

Abstract

Objective:To explore the application effect of vitamin D combined with high-dose interferon in children with severe hand-foot-mouth disease.Methods:Eighty children with severe hand-foot-mouth disease admitted to Huanggang Central Hospital from May 2020 to January 2023 were selected as the study subjects and were divided into two groups according to their admission order.Forty cases in the control group were treated with high-dose interferon,and 40 cases in the study group were supple-mented with vitamin D based on high-dose interferon.Then the time of rash,fever,jitter,and herpes healing,as well as the liver function and nerve function before and after treatment,were compared be-tween the two groups,and the clinical efficacy and safety were evaluated.Results:The duration of rash,fever,jitter,and herpes healing in the study group was shorter than the control group(P<0.05).After treatment,the levels of the serum alanine aminotransferase(ALT),aspartate amino-transferase(AST),nerve-specific enolase(NSE),and central nerve-specific protein(S-100β)of chil-dren in the study group were lower than those in the control group(P<0.05).The total effective rate of treatment in the study group was 91.67%,which was significantly higher than the rate of 73.33%in the control group(P<0.05).There was no significant difference in adverse reactions between the two groups(P<0.05).Conclusion:The treatment effect of vitamin D combined with high-dose inter-feron on children with severe hand-foot-mouth disease is significant.It can effectively relieve clinical symptoms,improve liver function,protect the nervous function,and has a high level of safety.

关键词

重症手足口病/维生素D/高剂量干扰素/临床症状/肝功能/神经功能

Key words

Severe Hand-Foot-Mouth Disease/Vitamin D/High Dose Interferon/Clinical Symptoms/Liver Function/Nervous Function

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出版年

2024
武汉大学学报(医学版)
武汉大学

武汉大学学报(医学版)

CSTPCD
影响因子:0.959
ISSN:1671-8852
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