CAJ | 학술논문

目的探讨大剂量静脉滴注丙种球蛋白防止川崎病患儿冠状动脉损害的效果.方法将82例川崎病患儿依据治疗方法分为观察组和对照组各41例,观察组患儿采用大剂量丙种球蛋白冲击治疗,对照组应用常规用量进行治疗.对照组采取常规护理,观察组在对照组的基础上按症状实施针对性的护理措施.比较2组的治疗及护理效果.结果观察组发生冠状动脉扩张1例,对照组发生8例,观察组发生率显著低于对照组.主要观察指标如发热、淋巴结肿大及皮肤黏膜改变的恢复时间观察组明显较对照组缩短.结论良好细致的护理和健康教育指导,可增加患儿及家属对川崎病的了解,积极配合医疗各个环节,可减少并发症,加快疾病康复.
목적 탐토대제량정맥적주병충구단백방지천기병환인관상동맥손해적효과.방법 장82례천기병환인의거치료방법분위관찰조화대조조각41례,관찰조환인채용대제량병충구단백충격치료,대조조응용상규용량진행치료.대조조채취상규호리,관찰조재대조조적기출상안증상실시침대성적호리조시.비교2조적치료급호리효과.결과 관찰조발생관상동맥확장1례,대조조발생8례,관찰조발생솔현저저우대조조.주요관찰지표여발열、림파결종대급피부점막개변적회복시간관찰조명현교대조조축단.결론 량호세치적호리화건강교육지도,가증가환인급가속대천기병적료해,적겁배합의료각개배절,가감소병발증,가쾌질병강복.
Objective To explore the effect and nursing of high dose gamma globulin therapy on preventing Kawasaki disease children from coronary artery damage.Methods 82 cases of children with Kawasaki disease were divided into two groups according to the treatment methods,each with 41 cases.The observation group was treated by high dose shock treatment of gamma globulin,the control group was given conventional dosage of gamma globulin.The control group received routine nursing care.The observation group was given targeted nursing measures according to the symptoms on the basis of the control group.The treatment and nursing effect were compared between two groups.Results 1 cases of coronary artery dilatation appeared in the observation group,while 8 cases in the control group,the difference was statistically significant.The recovery time of main observation index such as fever,lymphadenopathy,skin and mucous membrane alterations was significantly shorter in the observation group than the control group,the differences were statistically significant.Conclusions Careful nursing and health education guidance can increase the understanding of disease for Kawasaki disease children and their families,make them cooperate with medical work actively in order to reduce the complication and accelerate recovery.