张海梅　庄旭华　蔡　群　李培培　逯艳丽

221004　徐州市　江苏省徐州市传染病医院护理部



中药擦浴治疗发热出疹期麻疹合并肺炎的效果观察及护理

张海梅庄旭华蔡群李培培逯艳丽

221004徐州市江苏省徐州市传染病医院护理部

摘要目的：探讨发热出疹期麻疹合并肺炎患儿使用中药擦浴的治疗效果及护理。方法：选择本院2014年1～12月发热出疹期麻疹合并肺炎患儿105例并随机分为治疗组53例和对照组52例，两组患儿均采用常规中西药抗感染、抗病毒及支持对症治疗，治疗组在以上治疗的基础上使用中药擦浴，对照组则使用传统的温水擦浴。对两组麻疹合并肺炎患儿的持续降温效果、麻疹透发及重症并发症的发生率进行比较。结果：中药擦浴治疗组和温水擦浴对照组对于发热出疹期麻疹合并肺炎患儿的体温控制、麻疹透发及重症并发症的发生率进行比较，均有统计学意义(P<0.05)。结论：中药擦浴法对发热出疹期麻疹合并肺炎患儿能够及时有效地降低体温，促进透疹，减少重症并发症的发生率，值得临床进一步推广应用。

关键词发热；麻疹；中药擦浴；物理降温；透疹

doi:10.3969/j.issn.1672-9676.2016.03.067

Effect observation and nursing of Chinese medicine sponge bath on child in fever eruption period with pneumonia

ZHANG Hai-mei,ZHUANG Xu-hua,CAI Qun,et al(Xuzhou Infectious Diseases Hospital，Xuzhou221004)

AbstractObjective:To discuss the therapeutic effect and nursing of Chinese medicine sponge bath on child in fever eruption period with pneumonia.Methods:Select 105 cases of children patients in fever eruption period with pneumonia during January to December of 2014 and divide them into two teams of treatment group with 53 cases and control group with 52 cases,both of the groups adopt regular Chinese and western medicine anti-infective,antiviral and supportive symptomatic treatment,treatment group apply Chinese medicine sponge bath on the basis of the above method, while control group apply traditional warm water sponge bath.Compared the two groups on the occurrence rate of continuous cooling effect,measles eruption condition and severe complication.Results:The comparison between treatment group and control group on body temperature control,measles eruption and server complication occurrence rate (P<0.05) has statistical significance.Conclusion:Chinese medicine sponge bath on child in fever eruption period with pneumonia can reduce body temperature effectively,promote measles eruption and decrease the occurrence rate of server complication,which worth to be promoted on clinic.

Key wordsFever；Measles rash；Traditional Chinese medicine bath；Physical cooling；Promoting eruption

麻疹是一种由麻疹病毒引起的急性呼吸道传染病，传染性很强，0.5～5岁小儿发病率最高。主要临床表现有发热、咳嗽、流涕等卡他症状及眼结膜炎，特征性口腔麻疹黏膜斑及皮肤斑丘疹[1]，其中高热及皮疹为本病的最突出临床表现。一般麻疹患儿在前驱期均出现不同程度的发热，体温可高达39～40 ℃，患儿在体温达到高峰时开始出现皮疹，此期称为出疹期，临床上通常将前驱期及出疹期统称为发热出疹期，此期一般持续5～10 d。对麻疹患儿采用常规中西药抗感染、抗病毒治疗外,物理降温是高热患儿采取的最安全有效的护理措施，它是通过扩张皮肤血管，促进皮肤散热来达到降低机体温度的目的[2]。……