杨惠基

【关键词】综合护理干预;小儿高热惊厥;治疗质量;临床疗效

【中图分类号】R473.72 【文献标识码】B 【文章编号】1002-8714（2020）05-0205-01

【Abstract】 Objective： To explore the effect of comprehensive nursing on children with febrile seizures. Methods： Thirty-seven children with febrile seizures admitted in our hospital were selected as the subjects of this study. The treatment period was from March 2016 to October 2018. According to the different nursing methods， it is divided into the general nursing group and the general nursing group. Among them， 19 patients are assigned to the conventional nursing group， 18 patients are assigned to the general nursing group， and 19 patients in the conventional nursing group are treated by conventional nursing methods. All 18 patients were treated with comprehensive nursing methods. After the nursing intervention， the effect of nursing intervention was compared between the two groups of patients. Results： The antipyretic time and convulsions disappeared time of 18 patients in the comprehensive nursing group were （25.44±4.36） h and （3.21±0.78） d， and the antipyretic time and convulsive disappearance time of 18 patients in the conventional nursing group were （36.21±4.75） h， （5.74±0.92） d. After comparison， the clinical treatment effect of 18 patients in the comprehensive nursing group was significantly better than the bed treatment effect of 18 patients in the conventional nursing group， with significant differences between the groups （P<0.05）. Conclusion： In the treatment of children with febrile convulsions， the use of comprehensive nursing interventions has significantly improved the treatment quality and efficiency of patients compared with the traditional conventional nursing methods， and the effect is definitely significant.

【Keywords】 comprehensive nursing intervention; pediatric febrile seizures; quality of treatment; clinical efficacy

高熱惊厥是小儿中常见的疾病，疾病病因主要为感染所致体温升高，且低龄儿童因发育不完全，自身体温调控能力差，在高热状态下容易出现惊厥及肌肉抽搐情况[1]。针对小儿高热惊厥，需行及时的处理，以免病情加重，同时在治疗期间还需给予患儿进行有效的护理。我院特选择37例我院收治的高热惊厥患儿作为本次研究对象，探讨对高热惊厥患儿进行综合护理的效果。

1 资料与方法

1.1一般资料

选择37例我院收治的高热惊厥患儿作为本次研究对象，患者治疗时间段为2016年3月至2018年10月。按照护理方式的不同分为常规护理组与综合护理组，其中常规护理组分配患者19例，综合护理组分配患者18例，本次研究中患者均确诊为高热惊厥患儿，患儿家属均签署知情同意书。常规护理组19例患者中，男13例，女6例，最小患者为10个月，最大患者为6岁，平均年龄（2.7±1.2）岁;综合护理组18例患者中，男10例，女8例，最小患者为11个月，最大患者为5岁，平均年龄（2.6±1.3）岁。两组患者基线资料基本无差别（P>0.05）。

1.2方法

本次研究中37例患儿均进行静注苯巴比妥钠或安定对于惊厥的症状予以控制[2]，并进行物理降温治疗。治疗期间常规护理组19例患者均进行常规护理操作，如监测患儿生命体征、定时测量患儿体温、维持其呼吸道畅通等操作，并保持病房内的干净卫生。

为综合护理组18例患者选择综合护理方法进行干预，具体如下：①监测患者的体温、心率等生命指征;保持环境舒适及整洁，每天定期开窗通风;定期对病房消毒以避免病原菌感染;为患儿穿宽松的衣裤及盖轻但保温性佳的被子。对……