基于儿童早期预警评分的临床路径管理在高热惊厥患儿中的应用研究  

The application study of clinical pathway management based on the pediatric early warning score in children with febrile convulsion

作　　者：吴婷婷[1] 范莹莹 史厚霞 WU Tingting;FAN Yingying;SHI Houxia(Department of Pediatric Ward,Affiliated Maternity and Child Health Care Hospital of Nantong University,Nantong 226300,China)

机构地区：[1]南通大学附属妇幼保健院儿科病区,江苏南通226300

出　　处：《现代医学》2025年第3期400-405,共6页Modern Medical Journal

基　　金：南通市卫生健康委员会科研课题(QNZ2023073)。

摘　　要：目的:探讨基于儿童早期预警评分(PEWS)建立的临床路径管理在高热惊厥(FC)患儿中的应用效果,为儿童FC临床护理提供参考。方法:采用便利抽样法收集2023年1月至2024年2月于本院急诊或儿科病房就诊的250例FC患儿为研究对象,随机分为对照组和观察组,每组各125例。对照组给予常规治疗及护理,观察组在对照组基础上给予基于PEWS的临床路径管理。记录并比较两组患儿的发病次数、退热时间、惊厥持续时间、急救转住院时间、住院时间及生命体征指标变化。结果:与对照组比,观察组患儿的发病次数、退热时间、惊厥持续时间、急救转住院时间和住院时间均显著降低,差异均有统计学意义(均P<0.05)。护理后,观察组患儿体温、心率、呼吸频率均显著低于对照组(均P<0.05),且观察组护理前后各指标差值均显著大于对照组(均P<0.05)。另外,观察组患儿并发症发生比例显著低于对照组(P<0.05)。结论:基于PEWS建立的临床路径管理用于FC患儿可改善其临床症状,稳定其生命体征,降低患儿并发症发生率。Objective:To investigate the application of clinical pathway management based on pediatric early warning score(PEWS)in children with febrile convulsion(FC),to provide reference for clinical nursing of FC children.Methods:The convenience sampling method was used to collect 250 cases FC children who visited the emergency or pediatric ward of our hospital from January 2023 to February 2024 as research subjects.They were randomly divided into the control group(125 cases)and the observation group(125 cases).The control group was given conventional treatment and care,while the observation group was given clinical pathway management based on PEWS in addition to the treatment and care provided by the control group.The frequency of onset,duration of fever regression,duration of convulsions,time of emergency hospitalization,hospitalization time and changes in vital signs of the two groups were recorded and compared.Results:Compared with the control group,the frequency of onset,duration of fever regression,duration of convulsions,time of emergency hospitalization,and hospitalization time of the observation group were significantly reduced,with statistically significant difference(all P<0.05).After nursing,the body temperature,heart rate and respiratory rate in the observation group were significantly lower than those in control group(all P<0.05),and difference of each index before and after the nursing in the observation group were significantly greater than those in the control group(P<0.05).In addition,the proportion of complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:The clinical pathway management based on PEWS for FC children can improve clinical symptoms,stabilize the vital signs,reduce the rate of complications.

关 键 词：儿童早期预警评分 临床路径 高热惊厥 儿童 

分 类 号：R473.72[医药卫生—护理学]