摘要
目的探讨儿科手足口病患儿的临床特点及急诊留观患儿转归的危险因素,为手足口病患儿的护理提供依据。方法对2012年8月至2013年3月儿科急诊留观室收治的471例手足口病患儿及同期住院的40例患儿一般资料、临床症状及实验室检查结果进行比较,分析急诊留观患儿转归的危险因素。结果 3岁以下、高热、肢体抖动、血糖大于7.0 mmol/L、白细胞增高的手足口病患儿作为独立的危险因素使患儿转入住院的机会增多(P<0.01或P<0.05)。结论关注高危急诊留观患儿,有助于及时发现手足口病患儿的病情变化,提高其治愈率。存在病情加重危险的患儿,必要时住院进一步治疗。
Objective To investigate the clinical characteristics and prognosis risk factors of children with hand - foot - month disease （HFMD） in padiat- tic emergency observation room, so as to provide references for nursing care. Methods Totally,471 HFMD children admitted in padiatrie emergency observation room and 40 HFMD hospitalized patients were recruited from Aug. 2012 to Mar. 2013. Their general information, clinical characteristics, and laboratory examina- tions were compared to analyze the prognosis risk factors of patients in emergency observation room. Results Less than 3 years old, hypcrpyrexia, limb jitter, blood glucose higher than 7.0 mmol/L and increased white blood cell （ WBC ） made more opportunity of hospitalization （ P 〈 0. 01 or P 〈 0. 05 ）. Conclusion More focus on high - risk children under observation can help find the disease change of HFMD children, so as to improve the cure rate. Child that has dangers of aggravation should be admitted to hospital for further treatment if necessary.
出处
《护理管理杂志》
2014年第4期238-239,292,共3页
Journal of Nursing Administration
基金
国家外专局2013年基金资助项目(20133502015)
关键词
手足口病
儿科
急诊留观室
护理管理
hand - foot - mouth disease
pediatric department
emergency observation room
nursing management
