中国全科医学2012,Vol.15Issue(30):3516-3518,3.DOI:10.3969/j.issn.1007-9572.2012.10.102
静注人免疫球蛋白治疗手足口病合并脑炎患儿的疗效观察
Observation on Clinical Effect of IVIG in the Treatment of Children with Hand, Foot and Mouth Diseases Complicated with Viral Encephalitis
刘莉 1李青 2冯淑琴 1刘芳 1彭亚红 1侯建敏1
作者信息
- 1. 071000,河北省保定市第一医院儿科
- 2. 唐山职业技术学院医学校区
- 折叠
摘要
Abstract
Objective To investigate the effect of IVIG in the treatment of children with hand, foot and mouth diseases complicated with viral encephalitis by observing the changes of IL-6 and IL-12 before and after treatment Methods 88 children with hand, foot and mouth disease complicated viral encephalitis admitted to our hospital from May 2010 to August 2011 were randomly divided into control group (44 cases) and observation group (44 cases) .The control group was given treatments of anti-virus, decreasing intracranial pressure, detoxicating, hormone and antipyretic.While the observation group was given IVIG 1.0 g/kg each time for two times in a row in addition to the treatment of the control group.The efficacy, consciousness recovery time and fever duration were observed in the two groups, and the levels of IL-6 and IL-12 were detected before and after treatment.Results The efficacy after ten days of treatment between the two groups showed statistically significant difference (P < 0.05) .The consciousness recovery time and fever duration of the observation group were both significantly shorter than those of the control group (P <0.05) .The levels of IL-6 and IL-12 between the two groups before treatment showed no statistically significant difference (P >0.05) .After treatment, the levels of IL-6 and IL-12 of the observation group were significantly lower than those of the control group (P < 0.05) .Conclusion The IVIG combined with routine treatment can achieve satisfactory efficacy in the treatment of children with hand, foot and mouth diseases complicated with viral encephalitis, and it can also adjust the levels of IL-6 and IL-12, making it applicable in clinic.关键词
静注人免疫球蛋白/手足口病/脑炎Key words
Human immunoglobulin (pH4) for intravenous injection/ Hand, foot and mouth disease/ Encephalitis分类
医药卫生引用本文复制引用
刘莉,李青,冯淑琴,刘芳,彭亚红,侯建敏..静注人免疫球蛋白治疗手足口病合并脑炎患儿的疗效观察[J].中国全科医学,2012,15(30):3516-3518,3.