中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
32期
112-114,118
,共4页
小儿%高热惊厥%综合护理干预
小兒%高熱驚厥%綜閤護理榦預
소인%고열량궐%종합호리간예
Children%Febrile convulsion%Comprehensive nursing intervention
目的：观察小儿高热惊厥中应用综合护理干预的效果。方法资料选取内蒙古医科大学附属医院2011年3月~2012年3月收治的高热惊厥患儿共138例，将其分为研究组与对照组，其中对照组69例予常规护理，研究组69例在上述护理的基础上予综合护理干预。观察两组患儿的预后相关指标水平及血清生化检查结果，对患儿行2年随访，观察惊厥复发情况。结果研究组惊厥消失时间为(38.77±10.52)s，住院时间为(7.69±2.38)d，均显著少于对照组[(68.94±19.68)s，(13.04±2.17)d]，差异均有统计学意义(P<0.05)；护理后研究组血钾、血钠、血糖水平均显著优于对照组，差异均有统计学意义(P<0.05)；随访末期研究组8例(11.59%)复发，显著低于对照组[19例(27.54%)]，差异有统计学意义(P<0.05)。结论小儿高热惊厥中应用综合护理干预能够有效改善预后，恢复患儿正常血清生化指标，降低复发率，临床效果显著，具有应用价值。
目的：觀察小兒高熱驚厥中應用綜閤護理榦預的效果。方法資料選取內矇古醫科大學附屬醫院2011年3月~2012年3月收治的高熱驚厥患兒共138例，將其分為研究組與對照組，其中對照組69例予常規護理，研究組69例在上述護理的基礎上予綜閤護理榦預。觀察兩組患兒的預後相關指標水平及血清生化檢查結果，對患兒行2年隨訪，觀察驚厥複髮情況。結果研究組驚厥消失時間為(38.77±10.52)s，住院時間為(7.69±2.38)d，均顯著少于對照組[(68.94±19.68)s，(13.04±2.17)d]，差異均有統計學意義(P<0.05)；護理後研究組血鉀、血鈉、血糖水平均顯著優于對照組，差異均有統計學意義(P<0.05)；隨訪末期研究組8例(11.59%)複髮，顯著低于對照組[19例(27.54%)]，差異有統計學意義(P<0.05)。結論小兒高熱驚厥中應用綜閤護理榦預能夠有效改善預後，恢複患兒正常血清生化指標，降低複髮率，臨床效果顯著，具有應用價值。
목적：관찰소인고열량궐중응용종합호리간예적효과。방법자료선취내몽고의과대학부속의원2011년3월~2012년3월수치적고열량궐환인공138례，장기분위연구조여대조조，기중대조조69례여상규호리，연구조69례재상술호리적기출상여종합호리간예。관찰량조환인적예후상관지표수평급혈청생화검사결과，대환인행2년수방，관찰량궐복발정황。결과연구조량궐소실시간위(38.77±10.52)s，주원시간위(7.69±2.38)d，균현저소우대조조[(68.94±19.68)s，(13.04±2.17)d]，차이균유통계학의의(P<0.05)；호리후연구조혈갑、혈납、혈당수평균현저우우대조조，차이균유통계학의의(P<0.05)；수방말기연구조8례(11.59%)복발，현저저우대조조[19례(27.54%)]，차이유통계학의의(P<0.05)。결론소인고열량궐중응용종합호리간예능구유효개선예후，회복환인정상혈청생화지표，강저복발솔，림상효과현저，구유응용개치。
Objective To observe the effect of children with febrile convulsion treated with comprehensive nursing in-tervention. Methods 138 cases were selected from patients with febrile convulsion who received treatment in the Affil-iated Hospital of Inner Mongolia Medical University from March 2011 to March 2012. They were divided into the re-search group and the control group. The research group (69 cases) was given the comprehensive nursing intervention and the common nursing; while the control group (69 cases) was given the common nursing. Then levels of prognostic index and results of biochemistry of blood serum of two groups were observed, 2 years of follow-up on children were made in order to observe the relapse of convulsion. Results The elapsed time of convulsion and length of stay in the research group [(38.77±10.52) s and (7.69±2.38) d] were less than those in the control group [(68.94±19.68) s and (13.04±2.17) d], with statistical significance differences (P< 0.05). After nursed, levels of blood potassium, blood sodi-um, blood sugar in the research group were superior to those in the control group, with statistical significance differ-ences (P<0.05). At the end of follow-up, 8 cases in the research group (11.59%) relapsed, which was apparently lower than that in the control group (19 cases, 27.54%), with statistical significance differences (P<0.05). Conclusion Chil-dren with febrile convulsion giving comprehensive nursing intervention can improve prognosis, make serum biochemical indexes normal and reduce relapse rate, it has obviously clinical effect and application value.
