ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2017, Vol. 9 ›› Issue (3): 230-232.doi: 10.3969/j.issn.1674-3865.2017.03.015

• 临床研究 • 上一篇    下一篇

小儿腹泻病血锌水平检测的意义

廖景文   

  1. 365000 福建 三明,福建医科大学附属三明第一医院儿科
  • 出版日期:2017-06-25 发布日期:2017-12-08
  • 作者简介:廖景文(1968-),男,主任医师。研究方向:儿科危急重症的诊治,E-mail:lfunny@126.com

Significance of blood zinc level in children with diarrhea

LIAO Jingwen   

  1. Department of Pediatrics, Sanming First Hospital Affiliated to Fujian Medical University,Sanming 365000,China
  • Online:2017-06-25 Published:2017-12-08

摘要:
目的
探讨小儿腹泻病血锌水平检测的意义。
方法
2013年1月至2016年3月福建医科大学附属三明第一医院儿科收治住院的腹泻病患儿90例为观察组,同期选取本院健康体检儿童90例为正常对照组,检测不同年龄段锌缺乏率,腹泻患儿不同年龄、不同病程、不同病情的血锌水平,感染性腹泻与非感染性腹泻的血锌水平。
结果
不同年龄段患儿与同龄健康儿童比较,差异均有统计学意义(P<0.05)。观察组不同年龄段之间血锌水平比较差异均有统计学意义(P<0.05),不同病程之间血锌水平比较差异均有统计学意义(P<0.05)。感染性腹泻患儿血锌水平为(56.71±12.11)μmol/L,低于非感染性腹泻患儿(67.99±14.56)μmol/L,差异有统计学意义(P<0.05)。中重型腹泻患儿血锌水平为(57.88±13.46)μmol/L,低于轻型腹泻患儿(69.01±15.16)μmol/L,差异有统计学意义(P<0.05)。
结论
小儿腹泻病患儿血锌水平低于同龄健康儿童,应常规进行血锌水平检测,其中年幼患儿、感染性、重型腹泻病及病程长的患儿是检测重点。

关键词: 腹泻病, 血锌水平, 儿童

Abstract:
Objective
To investigate the significance of blood zinc level in children with diarrhea.
Methods
From January 2013 to March 2016, 90 children with diarrhea were admitted to the Pediatric Ward of the Sanming First Hospital Affiliated to Fujian Medical University, and 90 cases were selected as the normal control group. The rate of zinc deficiency in different age groups was detected; the level of blood zinc in children with diarrhea at different ages, and with different courses and conditions was detected; the level of blood zinc in infectious diarrhea and non-infectious diarrhea was also determined.
Results
In the diarrhea group, the incidence of zinc deficiency gradually decreased with age,  compared with healthy children of the same age, the difference was statistically significant(P<0.01). The level of blood zinc in diarrhea group was related to age and the course of disease, and the difference was statistically significant(P<0.05). Compared with non-infectious and light diarrhea children, the level of blood zinc decreased significantly in infectious and severe diarrhea patients[(67.99±14.56)μmol/L vs. (56.71 ±12.11)μmol/L,(69.01±15.16)μmol/L vs. (57.88±13.46) μmol/L, P<0.05].
Conclusion
The blood zinc level of children with diarrhea is lower than that of healthy children of the same age. Blood zinc levels should be routinely measured, and among them, young children and children with infectious and severe diarrhea and long course of disease are the focus of testing.

Key words: Diarrhea, Blood zinc level, Children