田青

[摘要] 目的 分析在小儿过敏性紫癜护理过程中实施综合护理干预的临床效果。 方法 方便择取该院在2014年5月—2015年5月期间接受治疗的过敏性紫癜患儿76例，按照随机数字表法将其分为对照组与观察组，每组38例。对照组患儿实施一般护理干预，观察组患儿给予综合护理干预，观察两组患儿临床症状变化情况，比较两组的临床效果。 结果 观察组患儿的住院时間（7.32±0.76）d短于对照组患儿的（9.76±0.61）d，差异有统计学意义（t=15.434 3，P=0.000 0）;观察组患儿的腹痛缓解时间与紫癜消失时间均短于对照组（t=20.665 5，t=18.910 9，P=0.000 0）;对出院1年的患儿进行电话随访，结果显示观察组患儿的疾病复发率7.89%远远低于对照组的28.95%（χ2=5.603 7，P=0.017 9）;且观察组的护理满意度94.74%远高于对照组的73.68%，组间差异有统计学意义（χ2=6.333 3，P=0.011 8）。 结论 综合护理干预在小儿过敏性紫癜护理过程中疗效显著，有效降低了疾病的复发率，具有临床应用价值。

[关键词] 综合护理;小儿过敏性紫癜;应用价值;临床效果

[中图分类号] R473.72          [文献标识码] A          [文章编号] 1674-0742（2018）08（c）-0160-03

Application Value and Effect Analysis of Comprehensive Nursing Intervention in Nursing of Anaphylactoid Purpura in Children

TIAN Qing

Department of Pediatrics， Shanting District People's Hospital， Zaozhuang， Shandong Province， 277200 China

[Abstract] Objective To analyze the clinical effect of comprehensive nursing intervention in the treatment of anaphylactoid purpura in children. Methods 76 children with anaphylactoid purpura who were treated in the hospital from May 2014 to May 2015 were convenient selected and randomly divided into a control group and an observation group according to the random number table method，each group was 38 cases. Children in the control group were given general nursing interventions. Children in the observation group were given comprehensive nursing interventions to observe the clinical symptom changes in the two groups of children and compare the clinical effects of the two groups. Results The hospitalization time of the observation group was （7.32±0.76）d shorter than that of the control group （9.76±0.61）d， with significant difference （t=15.434 3， P=0.000 0）; the abdominal pain relief time and purpura in the observation group were significantly higher than the control group. The disappearance time was shorter than that in the control group （t=20.665 5， t=18.910 9， P=0.000 0）. Telephone follow-up was performed on children discharged from the hospital for one year. The results showed that the relapse rate of the observation group was significantly lower than the control group （7.89% vs 28.95%） （χ2= 5.603 7， P=0.017 9）; and 94.74% of the satisfaction of the observation group was significantly higher than the 73.68% of the control group， the difference between the groups was significant， statistical significance was established （χ2= 6.333 3， P=0.011 8）. Conclusion The comprehensive nursing intervention has significant curative effect in the treatment of anaphylactoid purpura in children， which effectively reduces the recurrence rate of the disease and has clinical application value.

[Key words] Comprehensive care; Pediatric allergic purpura; Application value; Clinical effect

过敏性紫癜也称出血性毛细血管中毒症，是一种侵犯皮肤和毛细血管的过敏性血管炎，病原体感染、药物作用等都可能引发该病症[1]。临床症状通常表现为腹痛、紫癜、肾损害和关节痛等全身疼痛情况，是儿童时期常见的全身性血管疾病，严重时甚至引发肾病综合征或肾炎，威胁患儿的生命安全[2]。患病儿童以过敏类体质居多，主要过敏源有花粉、食物、昆虫叮咬、粉尘及药物等。目前，临床上对于该疾病的治疗主要以抗过敏为原则，该研究通过对该院在2014年5月—2015年5月期间收治的76例过敏性紫癜患儿实施优质护理干预，配合常规对症治疗，取得的临床疗效十分理想，现报道如下。……