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 Children with Upper Respiratory Tract Infection Induced Febrile Seizures

作　　者：陈宝芝 CHEN Baozhi(Department of Pediatrics,Shengli Oilfield Central Hospital,Dongying 257034,China)

机构地区：[1]胜利油田中心医院儿科三病区,山东东营257034

出　　处：《中华灾害救援医学》2024年第3期371-373,共3页Chinese Journal of Disaster Medicine

摘　　要：目的探索全面降温紧急护理模式,以减轻患儿因上呼吸道感染所致的高热惊厥症状。方法选取2023年5月至2024年2月胜利油田中心医院儿科收治的上呼吸道感染引发高热惊厥患儿90例,以随机数字表法作为分组依据,将患儿分为对照组与研究组,每组各45例。对照组患儿采取常规急救护理,研究组患儿在常规急救护理基础上,应用基于降温急救的综合性护理,对比两组患儿症状及癫痫发作情况。结果研究组惊厥消失、退热以及住院时间都明显短于对照组患儿,差异有统计学意义(P<0.05)。研究组未出现癫痫发作,而对照组患儿癫痫发作占比17.78%,惊厥复发占比15.56%,差异有统计学意义(P<0.05)。结论小儿呼吸道感染引发高热惊厥时,为其提供降温急救下的综合性护理干预,有助于缩短患儿惊厥消失时间、退热时间和住院时间,降低并发症与惊厥复发率。Objective To explore the comprehensive cooling emergency care model in order to reduce the symptoms of febrile convulsion caused by upper respiratory tract infection in children.Methods Ninety children with febrile seizures caused by upper respiratory tract infections admitted to the Department of Pediatrics at Shengli Oilfield Central Hospital from May 2023 to February 2024 were selected.The random number table method was used as the grouping basis to divide the children into the control group and the study group,with 45 cases in each group.The control group received routine emergency care,while the study group received comprehensive nursing with cooling emergency care on the basis of routine emergency care.The symptoms and seizure situation of the two groups of children were compared.Results The disappearance of convulsions,fever reduction,and hospital stay in the study group were significantly shorter than those in the control group,and the difference was statistically significant(P<0.05).Seizures did not occur in the study group,while seizures and convulsion recurred in the control group accounted for 17.78%and 15.56%,respectively.The difference was statistically significant(P<0.05).Conclusion For children with febrile convulsion caused by respiratory tract infection,providing comprehensive cooling emergency care can help to shorten the time of disappearance of convulsion,the time of fever remission,and hospitalization,reduce the rate of complications and convulsion recurrence,and improve the nursing satisfaction of parents.

关 键 词：惊厥 发热性 体温调节 儿科护理学 

分 类 号：R725[医药卫生—儿科]