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哈尔滨医药  2022, Vol. 42 Issue (3): 24-25    DOI: 10.3969/j.issn.1001-8131.2022.03.010
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小儿川崎病应用不同剂量丙种球蛋白治疗对患儿白细胞的影响及冠状动脉病变发生情况分析
袁科龙, 刘语思, 刘仕娥, 刘柳苑
深圳市坪山区妇幼保健院儿科,广东 深圳 518122
Effect of Different Doses of Gamma Globulin on White Blood Cells and Incidence of Coronary Artery Disease in Children With Kawasaki Disease
Yuan Kelong, Liu Yusi, Liu Shie, Liu Liuyuan
Department of Pediatrics,Pingshan Maternal and Child Health Hospital,Shenzhen 518122,China
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摘要 目的 探讨小儿川崎病(KD)患儿应用不同剂量丙种球蛋白(IVIG)治疗的临床效果。方法 40例KD患儿划分成两组,各20例,实验组静脉注射2g/kg的IVIG治疗,参照组静脉注射1g/kg的IVIG治疗,对比分析两组治疗效果。结果 实验组发热、皮疹、淋巴结肿大、手足肿胀、黏膜充血症状改善时间均少于参照组(P<0.05);治疗后两组的WBC、PLT、CRP、ESR均低于治疗前(P<0.05);两组治疗后的WBC、PLT、CRP、ESR以及CAL发生率差异无统计学意义(P>0.05)。结论 每日运用2g/kg的IVIG治疗小儿KD在较短时间内退热,对皮疹消失、黏膜充血改善、手足消肿等具有积极作用。
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袁科龙
刘语思
刘仕娥
刘柳苑
关键词 小儿川崎病丙种球蛋白冠状动脉病变    
AbstractObjective To investigate the clinical effect of different doses of IVIG in the treatment of children with Kawasaki disease(KD).Methods 40 children with KD were divided into two groups,20 cases in each group.The experimental group was treated with intravenous injection of 2g/kg IVIG,while the reference group was treated with intravenous injection of 1g/kg IVIG.Results The improvement time of fever,rash,lymphadenectasis,hand and foot swelling and mucosal congestion in the experimental group was less than that in the control group(P<0.05);After treatment,WBC,PLT,CRP and ESR of the two groups were lower than those before treatment(P<0.05);There was no significant difference in the incidence of WBC,PLT,CRP,ESR and CAL between the two groups after treatment(P>0.05).Conclusion Daily use of 2g/kg IVIG in the treatment of children with KD can reduce fever in a short period of time,and has a positive effect on the disappearance of skin rash,improvement of mucosal congestion,and detumescence of hands and feet.
Key wordsKawasaki disease in children    Gamma globulin    Coronary artery disease
收稿日期: 2021-08-31     
PACS:  R541.4  
引用本文:   
袁科龙, 刘语思, 刘仕娥, 刘柳苑. 小儿川崎病应用不同剂量丙种球蛋白治疗对患儿白细胞的影响及冠状动脉病变发生情况分析[J]. 哈尔滨医药, 2022, 42(3): 24-25.
Yuan Kelong, Liu Yusi, Liu Shie, Liu Liuyuan. Effect of Different Doses of Gamma Globulin on White Blood Cells and Incidence of Coronary Artery Disease in Children With Kawasaki Disease. journal1, 2022, 42(3): 24-25.
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