小儿病毒性腹泻的临床预后及危险因素分析

目的:探讨小儿病毒性腹泻的临床预后及危险因素。方法:纳入病例是2018年1月至2019年12月本院收治的200例小儿病毒性腹泻患者,回顾性分析其临床资料,分析小儿病毒性腹泻的临床特点。根据疾病痊愈情况分组,将128例痊愈患者作为实验组,72例未痊愈患者作为参照组,Logistic分析小儿病毒性腹泻患者疾病痊愈的危险因素。结果:200例患者中,HAstV感染121例,占60.50%;HAD感染36例,占18.00%;HUCV感染15例,占7.50%;HRV感染10例,占5.00%;混合感染18例,占9.00%。HAstV类型病毒性腹泻患者临床症状以呼吸道症状、发热、呕吐为主;HAD类型病毒性腹泻患者临床症状以发热、呕吐为主;HUCV类型病毒性腹泻患者临床症状以呼吸道症状、发热为主;HRV类型病毒性腹泻患者临床症状以发热、呕吐为主;混合感染类型病毒性腹泻患者临床症状以呼吸道症状、发热、呕吐为主。年龄、中枢神经损害、心肌损害、近1 w是否接触过腹泻是小儿病毒性腹泻患者疾病痊愈的危险因素,P0.05。结论:小儿病毒性腹泻不同感染类型,临床症状各不相同。小儿病毒性腹泻患者预后与年龄、中枢神经损害、心肌损害、近1 w是否接触过腹泻有着极为密切的联系,应当引起临床重视与关注。

Clinical Prognosis and Risk Factors of Viral Diarrhea in Children

ABSTRACT Objective: To analyze the clinical prognosis and risk factors of viral diarrhea in children. Methods: 200 cases of pediatric viral diarrhea admitted to our hospital from January 2018 to December 2019 were retrospectively analyzed. The clinical characteristics of pediatric viral diarrhea were analyzed. According to the disease recovery group, 128 patients with recovery were used as the experimental group, and 72 patients without recovery were used as the reference group. Logistic analysis was used to analyze the risk factors for the recovery of children with viral diarrhea. Results: Of the 200 patients, 121 were infected with HAstV, accounting for 60.50%; 36 were infected with HAD, accounting for 18.00%; 15 were infected with HUCV, accounting for 7.50%; 10 were infected with HRV, accounting for 5.00%; 18 were infected with infection, accounting for 9.00%. The clinical symptoms of patients with HAstV type viral diarrhea are mainly respiratory symptoms, fever and vomiting; the clinical symptoms of patients with HAD type viral diarrhea are mainly fever and vomiting; the clinical symptoms of patients with HUCV type viral diarrhea are mainly respiratory symptoms and fever; HRV The clinical symptoms of patients with type viral diarrhea are mainly fever and vomiting; the clinical symptoms of patients with mixed infection type are mainly respiratory symptoms, fever and vomiting. Age, CNS damage, myocardial damage, and whether diarrhea has been contacted in the past 1 week are risk factors for disease recovery in children with viral diarrhea, P<0.05. Conclusion: Different types of viral diarrhea in children have different clinical symptoms. The prognosis of children with viral diarrhea is closely related to age, central nervous system damage, myocardial damage, and whether or not diarrhea has been exposed for nearly 1 week. It should cause clinical attention and attention.