摘要
目的:探讨儿童重症手足口病合并脑炎的护理经验,进一步提高护理质量。方法:2012年2月-2014年7月收治儿童重症手足口病合并脑炎患儿46例,随机分成观察组和对照组,各23例,两组患者均给予甲基强的松龙、乌司他丁、甘露醇、免疫球蛋白治疗。对照组给予一般护理,观察组进行护理干预。结果:经过治疗和护理观察组发热消退时间(2.9±2.1)d,意识清醒时间(2.9±2.1)d,总有效率100.0%;对照组发热消退时间(3.9±1.9)d,意识清醒时间(4.7±1.7)d,总有效率86.9%,两组比较差异有统计学意义(P<0.05)。结论:密切观察患者症状变化,做好消毒隔离工作、高热护理,加强皮肤护理、口腔护理和心理护理是做好重症手足口病合并脑炎患儿护理的关键。
Objective:To explore the nursing experience of severe hand foot mouth disease complicated with encephalitis in children,to further improve the quality of nursing.Methods:46 patients with severe hand foot mouth disease complicated with encephalitis were selected from 2012 February to 2014 July.They were randomly divided into the observation group and the control group with 23 cases in each group.Two groups were given methylprednisolone,ulinastatin,mannitol,immunoglobulin treatment.The control group was given the general nursing,and the observation group was given nursing intervention.Results:After treatment and nursing,in the observation group,fever subsided time was (2.9±2.1) days;conscious of time was (2.9±2.1) days;the total efficiency was 100%.In control group,fever subsided time was (3.9±1.9) days;conscious of time was (4.7±1.7) days;the total efficiency was 86.9%.Compared the two groups,the difference was statistically significant(P<0.05).Conclusion:Close observation of patients symptoms change,good disinfection and isolation,good nursing care of hyperthermia,strengthening skin care,oral care and psychological nursing were the keys to the nursing care of children with severe hand foot and mouth disease complicated with encephalitis.
出处
《中国社区医师》
2015年第9期137-138,共2页
Chinese Community Doctors
关键词
儿童手足口病
脑炎
护理对策
Hand foot and mouth disease in children
Encephalitis
Nursing countermeasures
