高热惊厥患儿并发心肌损伤的高危因素分析及护理对策  

Analysis of High-Risk Factors and Nursing Countermeasures of Myocardial Injury in Children with Febrile Convulsion

作　　者：陈春 王佳丽[1] 周璋[1] Chen Chun;Wang Jiali;Zhou Zhang(Children′s Hospital of Fudan University,Shanghai 200240,China)

机构地区：[1]复旦大学附属儿科医院,上海市200240

出　　处：《齐鲁护理杂志》2024年第11期17-20,共4页Journal of Qilu Nursing

摘　　要：目的:分析高热惊厥患儿并发心肌损伤的高危因素,并给予护理对策。方法:回顾2022年10月1日~2023年2月1日收治的245例高热惊厥患儿的临床资料,根据是否并发心肌损伤分为异常组和良好组,比较两组临床资料,使用Logistics回归分析高热惊厥患儿并发心肌损伤的高危因素,探讨护理对策。结果:245例患儿中149例并发心肌损伤,发生率为60.82%;两组患儿年龄、体温峰值、家族史、惊厥类型、发作类型、24 h内发作次数、惊厥持续时间、白细胞计数(WBC)、血钙、血钠、磷酸肌酸激酶同工酶(CK-MB)、乳酸脱氢酶(LDH)、血红蛋白(Hb)、酸碱度(pH)、动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))比较差异有统计学意义(P<0.05);Logistics回归分析显示,年龄、体温峰值、家族史、惊厥类型、发作类型、24 h内发作次数、惊厥持续时间、血钙、血钠、CK-MB、LDH、Hb是并发心肌损伤的影响因素(P<0.05)。结论:高热惊厥患儿并发心肌损伤的高危因素较多,临床护理过程中应针对患儿情况分级对症干预,减轻患儿心功能损害。Objective:To explore the high-risk factors and nursing countermeasures of myocardial injury in children with febrile convul-sion and provide nursing countermeasures.Methods:A retrospective study was conducted on 245 children with febrile seizures admitted from October 1,2022 to February 1,2023,they were divided into abnormal group and well group based on whether they were complicated with myocardial injury.The clinical data were compared between the two groups,and the high-risk factors of myocardial injury in children with febrile convulsion were analyzed by Logistics regression analysis,and the nursing countermeasures were discussed.Results:Among 245 children,there were 149 cases of myocardial injury with the incidence rate of 60.82%.There was a statistically significant difference in age,peak body temperature,family history,seizure type,number of seizures within 24 hours,duration of seizures,white blood cell count(WBC),blood calcium,blood sodium,creatine kinase myocardial band(CK-MB),lactate dehydrogenase(LDH),hemoglobin(Hb),pH,arterial oxygen pressure(PaO_(2)),and arterial carbon dioxide pressure(PaCO_(2))between the two groups of patients(P<0.05).Logistic re-gression analysis showed that age,peak body temperature,family history,seizure type,seizure type,number of seizures within 24 hours,du-ration of seizures,blood calcium,sodium,CK-MB,LDH,and Hb were influencing factors for concurrent myocardial injury(P<0.05).Con-clusion:There are many high-risk factors of myocardial injury in children with febrile convulsion.During the process of clinical nursing,it is necessary to make graded symptomatic intervention according to the situation of children so as to reduce the damage of cardiac function in children.

关 键 词：儿童高热惊厥 心肌损伤 Logistics回归分析 护理对策 

分 类 号：R473.72[医药卫生—护理学]