摘要
目的：探讨肠道病毒71型（EV71）与柯萨奇病毒 A 组16型（CA16）所致的手足口病临床特征及护理方式。方法：回顾性选取2013年1月-2014年1月于我院儿科就诊的、经过使用 RT - PCR 进行肠道病毒检测可知肠道病毒71型（EV71）与柯萨奇病毒 A 组16型（CA16）患儿各50例为研究对象，之后对两组患者的临床特征以及生命特征进行统计分析，并进行精心细致护理。结果：肠道病毒71型（EV71）组患儿表现出呕吐、肢体抖动、抽搐、肺炎以及呼吸衰竭的比例明显高于柯萨奇病毒 A 组16型（CA16）患儿，各组统计结果比较差异有统计学意义（P 〈0．05）；而在生命特征方面，EV71患儿的体温、最高血压以及心率都明显高于 CA16患儿，差异有统计学意义（P 〈0．05）。经过针对性护理干预后，两组患儿的病情明显改善。结论：肠道病毒71型（EV71）患儿较柯萨奇病毒 A 组16型（CA16）在临床特征以及生命特征方面的临床表现更为明显，因此，应加强临床观察，尽早判断患儿感染病原体，及时针对性地进行治疗和护理。
Objective：To discuss clinical features of and refined nursing for hand - foot - mouth disease caused by enterovirus 71（EV71）and Coxsackievir-us A16（CA16）. Methods：Selected 50 children patients who had been diagnosed to be infected with enterovirus 71（EV71）and another 50 who had been diagnosed to be infected with Coxsackievirus A16（CA16）after enterovirus detection with RT - PCR as study objects of retrospective analysis. These children patients were cured in our pediatrics department form January 2013 to January 2014. Statistical analysis of clinical features and vital signs of patients from both groups was conducted,and refined and careful nursing was provided for them. Results：Children patients infected with enterovirus 71（EV71）demon-strated significantly higher rates of symptoms such as emesis,limb - shaking,convulsion,pneumonia and respiratory failure than those infected with Cox-sackievirus A16（CA16）. Comparison differences in statistical results had statistical significances（P 〈 0. 05）. As for vital signs,EV71 children patients had significantly higher body temperature,maximal blood pressure and heart rate than CA16 children patients. The differences had statistical significances （P 〈 0. 05）. Illnesses of patients from both groups were significantly alleviated after targeted nursing intervention. Conclusion：Clinical features and clinical vital signs of patients infected with EV71 are more significant than those of patients infected with Coxsackievirus A16（CA16）,therefore,reinforced clinical observation should be conducted in order to identify infection pathogen as early as possible and provide targeted treatment and nursing in time.
出处
《护理实践与研究》
2016年第13期62-64,共3页
Nursing Practice and Research
