以降温急救护理为基础的综合护理模式对小儿上呼吸道感染致高热惊厥的干预效果分析  

Analysis of the Intervention Effect of a Comprehensive Nursing Model Based on Cooling Emergency Care on Febrile Convulsions Caused by Upper Respiratory Tract Infection in Children

作　　者：曾路梅[1] 沈晓娟 赵婷鹭[2] ZENG Lumei;SHEN Xiaojuan;ZHAO Tinglu(Pediatric Emergency Department,the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361003 China;Department of Hepatobiliary,Pancreatic and Vascular Surgery,the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361003 China)

机构地区：[1]厦门大学附属第一医院儿科急诊,福建厦门361003 [2]厦门大学附属第一医院肝胆胰血管外科,福建厦门361003

出　　处：《中外医疗》2023年第24期152-155,共4页China & Foreign Medical Treatment

摘　　要：目的探讨以降温急救护理为基础的综合护理模式对小儿上呼吸道感染致高热惊厥的干预效果。方法方便选择2021年5月—2023年4月在厦门大学附属第一医院儿科急诊接受治疗的58例上呼吸道感染致高热惊厥患儿作为研究对象,依据随机数表法分为两组,29例患儿纳入对照组并给予常规护理;29例患儿纳入观察组,并在实行常规护理的基础上,给予以降温急救护理为基础的综合护理。比较两组患者高热症状缓解时间、惊厥症状消失时间、住院时间以及不良反应发生率、惊厥复发率。结果观察组退热时间(21.32±6.58)h、惊厥症状消失时间(3.89±1.24)d、住院时间(5.94±2.06)d均短于对照组的(26.77±7.46)h、(5.73±1.51)d、(8.86±2.85)d,差异有统计学意义(t=2.951、5.071、9.056,P<0.05);观察组不良反应总发生率、惊厥复发率均为0,低于对照组的24.14%、20.69%,差异有统计学意义(χ^(2)=5.849、4.647,P<0.05)。结论以降温急救护理为基础的综合护理模式可缩短上呼吸道感染致高热惊厥患儿的退热时间、惊厥症状消失时间及住院时间,降低患儿再次发生惊厥的可能性,减少感染、舌咬伤等不良反应的发生。Objective To explore the intervention effect of a comprehensive nursing model based on cooling emergency care on febrile convulsions caused by upper respiratory tract infection in children.Methods 58 children with febrile convulsions caused by upper respiratory tract infection who were treated in the pediatric emergency department of the First Affiliated Hospital of Xiamen University from May 2021 to April 2023 were conveniently selected as the research subjects.According to the random number table method,they were divided into two groups.29 children were included in the control group and were given routine care;29 children were included in the observation group and were given comprehensive care based on cooling emergency care on the basis of routine care.The two groups of patients were compared in terms of the time to relieve high fever symptoms,the time to disappear of convulsive symptoms,the length of hospitalization,the incidence of adverse reactions,and the recurrence rate of convulsions.Results The antipyretic time of the observation group(21.32±6.58)h,the disappearance time of convulsive symptoms(3.89±1.24)d,and the hospitalization time(5.94±2.06)d were all shorter than those of the control group(26.77±7.46)h and(5.73±1.51)d,(8.86±2.85)d,and the difference was statistically significant(t=2.951,5.071,9.056,P<0.05).The total incidence rate of adverse reactions and the recurrence rate of convulsions in the observation group were both 0,which was lower than the 24.14%and 20.69%in the control group,and the difference was statistically significant(χ^(2)=5.849,4.647,P<0.05).Conclusion The comprehensive nursing model based on cooling emergency care can shorten the time to reduce fever,disappear time of convulsive symptoms and length of hospitalization in children with febrile convulsions caused by upper respiratory tract infection.Reduce the possibility of children having convulsions again and reduce the occurrence of adverse reactions such as infection and tongue bites.

关 键 词：降温急救护理 综合护理 小儿上呼吸道感染 高热惊厥 退热时间 不良反应 

分 类 号：R72[医药卫生—儿科]