王静

[关键词] 康复护理;小儿重症病毒性脑炎;症状/体征消退时间;生存状态

[中图分类号] R473.5          [文献标识码] B          [文章编号] 1673-9701（2021）21-0170-03

Effect observation and clinical value of rehabilitation nursing in the nursing of children with severe viral encephalitis

WANG Jing

Endoscope Room，Taian Maternal and Child Health Hospital，Tai′an   271000，China

[Abstract] Objective To analyze the clinical value of rehabilitation nursing in children with severe viral encephalitis （SVE）. Methods Fifty-eight children with SVE in the hospital from May 2018 to May 2019 were selected as the study subjects.Based on the lottery method，30 cases were included in group A and given rehabilitation care;28 cases were included in group B and received routine care.The time required for recovery of the symptoms/signs，and the survival status after one year of follow-up were compared. Results The recovery time of symptoms/signs in group A was shorter than that in group B，and the difference was statistically significant （P<0.05）.After one year of follow-up，the survival status scores of group A were higher than those of group B.The total effective rate was 93.33% in group A and 64.29% in group B，and the difference was statistically significant（P<0.05）. Conclusion Rehabilitation nursing for children with SVE can promote the recovery of symptoms/signs and improve the long-term survival status.

[Key words] Rehabilitation nursing;Severe viral encephalitis in children;Symptoms/signs subsiding time;Survival status

病毒性腦炎（Viral encephalitis，VE）是频发性中枢神经系统病症，其感染风险较高，且多发于小儿群体[1]。致病菌为病毒，病理表现为颅内突发性炎症，症状以意识模糊和高热为主。SVE的病情危重，可能导致患儿死亡。临床多通过降温和降颅内压等形式控制病情，目的是控制惊厥，恢复患儿的呼吸与神经功能。其治疗原则是早期干预、足量给药和短时间治疗[2-3]。但在治疗期间可能因护理不当导致远期伤残情况，影响患儿的生存状态。基于此，临床积极采取护理服务，目的是确保治疗整体化疗效，改善患儿预后。但常规化护理的针对性欠佳，且护理措施欠全面，未关注对患儿实行康复相关性护理[4]。因此，本研究选取2018年5月至2019年5月间来院治疗的58例SVE患儿，用于分析康复护理用于该病患儿的临床效用，现报道如下。

1 资料与方法

1.1 一般资料

患儿诊治时间介于2018年5月至2019年5月，共计SVE患儿58例。经实验室指标等确诊为SVE;临床资料相对完整;家属对研究知情而且完全同意;研究经伦理委员会审核以后准许开展。排除合并免疫与精神系统疾病;伴心肝肾病症;伴其他脑病和中途退出患儿。根据抽签法分组后，A组记录30例，男患儿比女患儿的数值等于14：16;年龄4～11岁，平均（6.85±0.71）岁;病程1～5 d，平均（2.65±0.42） d。B组记录28例，男患儿比女患儿的数值等于17：11;年龄3～12岁，平均（6.98±0.80）岁;病程2～5 d，平均（2.99±0.35）d。两组临床资料比较，差异无统计学意义（P>0.05）。

1.2方法