凌智娟 肖志田 张文姣

[摘要]目的 探讨应用护理干预对儿童秋季腹泻的效果及预后。方法 选取2017年1～12月我院收治的98例秋季腹泻患儿作为研究对象，随机将其分为对照组和治疗组，每组各49例。对照组患儿给予常规治疗方案，治疗组患儿在对照组基础上给予护理干预。比较两组患儿的临床疗效以及临床症状改善时间。结果 治疗72 h后，治疗组患儿的治疗总有效率（93.88%）明显高于对照组（79.59%），差异有统计学意义（χ2=4.346，P<0.05）。治疗组患儿的退热时间、止泻时间和止吐时间均短于对照组，差异有统计学意义（t=5.886、10.090、7.882，P<0.05）。结论 儿童秋季腹泻应用护理干预能改善临床症状，提高疗效，促进患儿早日康复。

[关键词]儿童；秋季腹泻；护理干预

[中图分类号] R225.7 [文献标识码] A [文章编号] 1674-4721（2018）5（a）-0191-03

[Abstract]Objective To investigate the effect of nursing intervention in children with autumn diarrhea.Methods A total of 98 cases of children with autumn diarrhea treated in our hospital from January to December in 2017 were selected as subjects and they were randomly divided into control group and treatment group，49 cases in each group.The patients in the control group were given the conventional treatment，and the patients in the treatment group were treated with nursing intervention based on the control group.The clinical efficacy and clinical symptoms between the two groups were compared.Results After treating of 72 hours，the total effective rate in the observation group （93.88%） was significantly higher than that of the control group （79.59%），the difference was of statistical significance （χ2=4.346，P<0.05）.The antipyretic time and antidiarrheal time，antiemetic time in treatment group were shorter than those in the control group，the differences were of statistically significant （t=5.886，10.090，7.882；P<0.05）.Conclusion The active nursing intervention can effectively improve the clinical symptoms in children with autumn diarrhea，enhance the therapeutic effect and promote recovery.

[Key words]Children；Autumn diarrhea；Nursing intervention

小儿腹泻是儿科常见病以及多发病之一，患儿大多数是2岁以下的婴幼儿。引起小儿秋季腹泻的主要祸首是轮状病毒，常有感冒、呕吐和腹泻三大主要临床特征，容易引起脱水、电解质紊乱及酸中毒等，严重者可威胁患儿的生命[1]。目前国内外尚缺乏有效的治疗手段，多采用对症支持疗法，但是疗效不佳。近年来，护理干预在儿童秋季腹泻治疗中的作用越来越受到临床重视。本研究选取我院收治的98例秋季腹泻患儿作为研究对象，在常规治疗小儿秋季腹泻的基础上予以护理干预，取得令人满意的疗效，现报道如下。

1资料与方法

1.1一般资料

选取2017年1～12月我院收治的98例秋季腹泻患儿作为研究对象。纳入标准：所有入选患儿均符合秋季腹泻的诊断标准[2]，并且有发热、腹泻、呕吐等典型的临床症状。排除标准：有其他合并症以及重度脱水患儿。将98例腹泻患儿随机分为对照组和治疗组，每组各49例。……