预警评估联合循证护理在小儿热性惊厥中的作用分析  

Analysis of the Role of Early Warning Assessment and Evidence-based Nursing in Children with Febrile Seizures

作　　者：吴春风 陈小燕 郑可娟 郭巧静 WU Chunfeng;CHEN Xiaoyan;ZHENG Kejuan;GUO Qiaojing(Department of Pediatric Neurology,Zhangzhou Hospital Affiliated to Fujian Medical University,Zhangzhou,Fujian 363000,China)

机构地区：[1]福建医科大学附属漳州市医院儿童神经科,福建漳州363000

出　　处：《中国医药指南》2025年第2期167-170,共4页Guide of China Medicine

摘　　要：目的探究预警评估联合循证护理在小儿热性惊厥中的应用效果。方法选取2020年4月至2021年4月某院收治的80例热性惊厥患儿,依据随机数字表法分为两组,每组40例。对照组采用常规护理,观察组在对照组基础上采用预警评估联合循证护理。比较两组血清生化指标[血钾、血钠、神经元特异性烯醇化酶(NSE)与中枢神经特异性蛋白β(S-100β)]、机体恢复时间(发热持续时间、意识恢复时间、抽搐停止时间和住院时间)、并发症发生情况及护理满意度。结果护理后,观察组血钾、血钠水平高于对照组,神经元特异性烯醇化酶(NSE)与中枢神经特异性蛋白β(S-100β)低于对照组(P<0.05)。观察组发热持续时间、意识恢复时间、抽搐停止时间、住院时间均短于对照组(P<0.05);观察组并发症发生率为7.50%(3/40),低于对照组的35.00%(14/40)(P<0.05)。观察组护理满意度95.00%(38/40),高于对照组的75.00%(30/40)(P<0.05)。结论早期预警评估联合循证护理干预可显著改善热性惊厥患儿血清学指标,有助于维持患儿的电解质平衡,减轻神经损伤程度,减少热性惊厥相关并发症,加快患儿机体恢复,并提高护理满意度。Objective To explore the application effect of early warning assessment combined with evidence-based nursing in pediatric febrile seizures.Methods A total of 80 children with febrile seizures admitted to a certain hospital from April 2020 to April 2021 were selected and divided into two groups of 40 each using the random number table method.The control group received routine nursing,while the observation group received early warning assessment combined with evidence-based nursing in addition to the control group’s care.Serum biochemical indicators[potassium,sodium,neuron-specific enolase(NSE),and central nervous system-specific proteinβ(S-100β)],recovery time(duration of fever,consciousness recovery time,seizure cessation time,and hospital stay),complications,and nursing satisfaction were compared between the two groups.Results After nursing,the levels of potassium and sodium in the observation group were higher than those in the control group,while the levels of neuron-specific enolase(NSE)and central nervous system-specific proteinβ(S-100β)were lower than those in the control group(P<0.05).The duration of fever,consciousness recovery time,seizure cessation time,and hospital stay in the observation group were all shorter than those in the control group(P<0.05).The incidence of complications in the observation group was 7.50%(3/40),lower than the control group’s 35.00%(14/40)(P<0.05).The nursing satisfaction in the observation group was 95.00%(38/40),higher than the control group’s 75.00%(30/40)(P<0.05).Conclusions Early warning assessment combined with evidence-based nursing intervention can significantly improve the serological indicators of children with febrile seizures,help maintain the electrolyte balance of children,reduce the degree of neurological damage,decrease febrile seizure-related complications,accelerate the recovery of children’s bodies,and improve nursing satisfaction.

关 键 词：热性惊厥 预警评估 循证护理 并发症 

分 类 号：R720.597[医药卫生—急诊医学] R473.72[医药卫生—儿科]