小儿上呼吸道感染后高热惊厥的急救研究  

First-aid Study of Febrile Convulsion after Upper Respiratory Tract Infection in Children

作　　者：周群玲 ZHOU Qunling(Department of Pediatrics,the First People's Hospital of Qinzhou City,Qinzhou,Guangxi Zhuang Autonomous Region,535000 China)

机构地区：[1]钦州市第一人民医院儿科,广西钦州535000

出　　处：《中外医疗》2022年第3期96-99,共4页China & Foreign Medical Treatment

摘　　要：目的探究小儿上呼吸道感染后高热惊厥的急救方法。方法方便选取该院于2017年4月—2020年4月收治的100例上呼吸道感染致高热惊厥患儿为研究对象,依据护理措施差异将所有患者分为对照组(n=50)与观察组(n=50),对照组采用常规急救治疗,观察组在对照组基础上给予综合加强急救治疗,观察两组临床指标、复发情况。结果治疗后,观察组退热时间、惊厥消失时间以及住院时间显著少于对照组,差异有统计学意义(t=3.652、2.774、13.862,P<0.05);对患者治疗1周后,观察组完全恢复率明显高于对照组,且观察组复发率低于对照组,差异有统计学意义(χ^(2)=15.487、5.005,P<0.05)。治疗后,观察组误吸、脑损伤以及舌咬伤发生率较对照组均降低,差异有统计学意义(χ^(2)=12.705,P<0.05);治疗前,对照组与观察组体温分别为(39.26±0.13)℃、(39.24±0.12)℃,治疗后对照组与观察组体温分别为(36.90±0.16)℃、(36.61±0.11)℃,两组患儿急救后体温明显低于急救前,且观察组体温较对照组低,差异有统计学意义(P<0.05);治疗后,观察组有48例患儿家属较为满意,满意度为96.00%,对照组有40例患儿家属较为满意,满意度为80.00%,观察组总满意度更高,差异有统计学意义(χ^(2)=6.061,P<0.05)。结论对上呼吸道感染致高热惊厥患儿给予综合加强急救治疗,可显著减少退热与惊厥时间,体温明显降低,加快机体恢复,降低复发率,避免对脑部造成损伤,患者家属护理满意度较高,临床应用效果显著。Objective To explore the first-aid methods of high febrile convulsion after upper respiratory tract infection in children.Methods Conveniently selected 100 children with febrile seizures caused by upper respiratory tract infections admitted in the hospital from April 2017 to April 2020 as the research objects.According to the difference of nursing measures,all patients were divided into control group(n=50)and observation group(n=50).The control group was given conventional emergency treatment,and the observation group was given comprehensive and enhanced emergency treatment on the basis of the control group.Observed the clinical indicators and recurrence of the two groups.Results After treatment,the observation group's antipyretic time,convulsion disappearance time and hospital stay were significantly less than those of the control group,the difference was statistically significant(t=3.652,2.774,13.862,P<0.05).After 1 week of treatment,the complete recovery rate of the observation group was significantly higher than that of the control group,and the recurrence rate of the observation group was lower than that of the control group,the difference was statistically significant(χ^(2)=15.487,5.005,P<0.05).After treatment,the incidence of aspiration,brain injury and tongue bite in the observation group were lower than those in the control group,the difference was statistically significant(χ^(2)=12.705,P<0.05).Before treatment,the body temperature of the control group and observation group were(39.26±0.13)℃and(39.24±0.12)℃respectively.After treatment,the body temperature of the control group and observation group were(36.90±0.16)℃and(36.61±0.11)℃,respectively.That the body temperature of the two groups of children after first aid was significantly lower than that before first aid,and the body temperature of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).After treatment,the family members of 48 children in the observation group were more s

关 键 词：小儿呼吸道感染 高热惊厥 急救 

分 类 号：R4[医药卫生—临床医学]