危重型手足口病并心肺功能衰竭前期目标性救治措施  

Targeted Treatment for Critical Hand, Foot and Mouth Disease and Cardiopulmonary Failure

作　　者：周宏 ZHOU Hong(Department of Pediatrics, Hongren Hospital, Hechuan District, Chongqing, 401520 China)

机构地区：[1]重庆市合川区宏仁医院儿科

出　　处：《系统医学》2019年第16期90-92,共3页Systems Medicine

摘　　要：目的危重型手足口病并心肺功能衰竭前期患儿通过目标性救治措施展开医治,对患儿的抢救成功率以及治疗指标进行研究,评价其治疗效果。方法该次研究从该院在2015年5月—2018年5月收治的危重型手足口病并心肺功能衰竭前期患儿中随机抽取出60例患儿进行试验研究,将其当成该次研究的研究对象,将所有患儿按照随机化方法分成两组,每组由30例患儿组成,一组患儿通过实施目标性救治措施进行治疗,叫做观察组,一组患儿不实施目标性救治措施展开治疗,叫做对照组,对两组患儿的抢救成功率、死亡率以及心率、体温、收缩压的情况进行分析,研究其治疗效果。结果观察组患儿的抢救成功率为60.0%(18/30),死亡率为20.0%(6/30),对照组患儿的抢救成功率为16.7%(5/30),死亡率为30.0%(9/30),差异有统计学意义(χ^2=16.538 4、16.538 9,P<0.05);观察组患儿的体温、心率、收缩压情况分别为:(37.56±0.68)℃、(119.56±13.25)次/min、(95.06±43.15)mmHg,对照组患者的体温、心率、收缩压情况分别为:(37.49±0.71)℃、(133.98±15.46)次/min、(80.25±28.68)mmHg,体温差异无统计学意义(t=3.465 2,P>0.05),其他两项差异有统计学意义(t=6.482 1、6.539 7,P<0.05)。结论危重型手足口病并心肺功能衰竭前期通过实施目标性救治措施,可以有效提高抢救成功率,降低死亡率,患者的治疗指标得到明显改善,值得在临床中推广以及应用。Objective To treat patients with severe hand, foot and mouth disease and cardiopulmonary failure by target-ed treatment measures, to study the success rate of patients and treatment indicators, and to evaluate their therapeutic effects. Methods In this study, the author randomly selected 60 patients from the pre -existing patients with severe hand, foot and mouth disease and cardiopulmonary failure who were admitted to the hospital from May 2015 to May 2018, and conducted experimental research. As a subject of cost study, all patients were divided into two groups ac-cording to randomization method. Each group consisted of 30 patients. One group of patients was treated by targeted treatment, called observation group. One group of patients was not implemented. The targeted treatment measures were called the control group. The rescue success rate, mortality rate, heart rate, body temperature and systolic blood pressure of the two groups were analyzed to study the therapeutic effect. Results The rescue rate was 60.0%(18/30) and the mortality rate was 20.0%(6/30). The rescue rate of the control group was 16.7%(5/30) and the mortality rate was 30.0%(9/30), the difference was more obvious, statistically significant(χ^2 =16.538 4,16.538 9,P<0.05);body temperature, heart rate, systolic blood pressure of the observation group were (37.56±0.68)°C,(119.56±13.25)time/min,(95.06± 43.15)mmHg, the body temperature, heart rate and systolic blood pressure of the control group were:(37.49±0.71)°C,(133.98±15.46)time/min,(80.25±28.68)mmHg, there was no statistically significant difference in body temperature (t=3.465 2,P>0.05). The other two differences were statistically significant (t=6.482 1, 6.539 7,P<0.05). Conclusion In the early stage of severe hand, foot and mouth disease and cardiopulmonary failure, the target treatment can effectively improve the success rate of rescue and reduce the mortality. The treatment index of patients is obviously improved, which is worthy of promotion and application in the clinic.

关 键 词：危重型手足口病 心肺功能衰竭 目标性救治 

分 类 号：R720.597[医药卫生—急诊医学]