首页|手足口病合并病毒性脑炎患儿血清中NSE及S-1OOB的检测价值

手足口病合并病毒性脑炎患儿血清中NSE及S-1OOB的检测价值

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目的 探讨手足口病(HFMD)合并病毒性脑炎(VE)患儿血清中神经烯醇化酶(NSE)及星形胶质原性蛋白(S-100B)表达的临床意义.方法 收集确诊的62例手足口病合并病毒性脑炎患儿作为观察组,收集50例排除中枢神经系统疾病的单纯手足口病患儿作为对照组,收集体检证实为正常的儿童血清标本50例作为正常对照组,对三组血清进行NSE和S-100B的测定.结果 观察组患儿血清中NSE和S-100B明显高于对照组和正常对照组,对照组患儿血清中NSE和S-100B明显高于正常对照组.观察组患儿血清中NSE和S-100B的含量与是否伴有惊厥密切相关.观察组患儿血清中NSE与S-100B的表达呈正相关.结论 NSE和S-100B在手足口病合并病毒性脑炎患儿血清中高表达,在疾病的发生发展中有重要促进作用,联合检测NSE和S-100B的表达可能是早期判断脑组织损伤的客观指标之一,对于早期识别危重病例有重要价值.
Clinical value on NSE and S-100B of serum in children with hand-foot-mouth diseases combined with viral encephalitis
Objective To detect the expresions of NSE and S-100B of serum in children with hand-foot-mouth diseases compbined with viral encephalitis, and investigate their clinical significance. Methods 62 children with hand-foot-mouth diseases compbined with viral encephalitis were observed as observation group, 50 children with hand-foot-mouth which eliminated central nerous system disease were observed as control group,50 normal children were observed as normal control group. The expressions of NSE and S-100B were detected in the three groups. Results The expressions of NSE and S-100B were obviously higher in the observation group than in the other groups. The expressions of NSE and S-100B were obviously correlated with convulsion in the observation group. There were positively correlated between NSE and S-100B in the observation group. Conclusion The higher expressions of NSE and S-100B can induce the development of hand-foot-mouth diseases compbined with viral encephalitis. The combined examination of NSE and S-100B may be helpful to predict the pathological degree in hand-foot-mouth diseases.

Hand, Foot and Mouth DiseasecomplicationsEncephalitis, ViralcomplicationsPhosphopyruvate HydratasemetabolismNerve Growth FactorsmetabolismS100 Proteinsmetabolism

刘莉、刘洁

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河北省保定市第一医院儿科,河北保定071000

河北大学附属医院,河北保定071000

手足口病/并发症 脑炎,病毒性/并发症 磷酸丙酮酸水合酶/代谢 神经生长因子类/代谢 S100蛋白质类/代谢

2012

中国误诊学杂志
中华预防医学会 漯河市中心医院 重庆第九人民医院

中国误诊学杂志

影响因子:0.406
ISSN:1009-6647
年,卷(期):2012.12(17)
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