早期预警评估下分级降温护理对热性惊厥患儿的康复效果  

Rehabilitation effect of graded cooling nursing under early warning assessment on children with febrile convulsion

作　　者：杨梅 魏良铜 徐怡雪 YANG Mei;WEI Liangtong;XU Yixue(Department of Pediatrics,the Second People’s Hospital of Lu’an City,Anhui Province,Lu’an 237008,China)

机构地区：[1]安徽省六安市第二人民医院儿科,安徽六安237008

出　　处：《中国医药导报》2023年第18期139-142,155,共5页China Medical Herald

基　　金：安徽省卫生健康委员会科研项目(AHWJ2021b104)。

摘　　要：目的探讨对热性惊厥患儿实施早期预警评估下分级降温护理的康复效果。方法选取2019年1月至2021年12月在安徽省六安市第二人民医院治疗的热性惊厥患儿194例,以随机数字表法将其分为对照组和观察组,各97例。对照组进行常规降温护理,观察组在对照组基础上行早期预警评估下分级降温护理,干预1周后比较两组临床症状、并发症发生率及免疫功能。结果观察组高热持续时间、惊厥持续时间短于对照组,惊厥发作频率低于对照组(P<0.05)。观察组并发症总发生率低于对照组(P<0.05)。干预后,两组免疫球蛋白(Ig)A、IgM、IgG水平低于干预前,且观察组低于对照组(P<0.05)。干预后,两组儿童生活质量量表4.0的生理功能、情感功能、社会功能、学校功能评分高于干预前,且观察组高于对照组(P<0.05)。结论早期预警评估下分级降温护理可改善热性惊厥患儿的高热、惊厥症状,降低并发症发生率,提升机体免疫功能及生活质量。Objective To explore the rehabilitation effect of graded cooling nursing under early warning assessment for children with febrile convulsion.Methods A total of 194 children with febrile convulsion treated in the Second People’s Hospital of Lu’an City,Anhui Province from January 2019 to December 2021 were selected and divided into control group and observation group by random number table method,with 97 cases in each group.The control group was given routine cooling nursing,and the observation group was given graded cooling nursing under early warning assessment on the basis of the control group.After one week of intervention,the clinical symptoms,incidence of complications,and immune function were compared between the two groups.Results The duration of high fever and convulsion in the observation group were shorter than those in the control group,and the frequency of convulsion was lower than that in the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).After intervention,the levels of immunoglobulin(Ig)A,IgM,IgG of the two groups were lower than those before intervention,and those of the observation group were lower than those of the control group(P<0.05).After intervention,the scores of physiological function,emotional function,social function,and school function of pediatric quality of life inventory 4.0 in two groups were higher than those before intervention,and those of the observation group were higher than those of the control group(P<0.05).Conclusion Graded cooling nursing under early warning assessment can improve the symptoms of high fever and convulsion in children with febrile convulsion,reduce the incidence of complications,and improve the immune function and quality of life.

关 键 词：早期预警评估 分级降温护理 热性惊厥 免疫功能 

分 类 号：R473[医药卫生—护理学]