重症71型肠道病毒感染手足口病的临床表现特点及综合护理探讨

The clinical features and nursing care for severe cases of hand foot and mouth disease infected with enterovirus type 71

目的 分析重症71型肠道病毒感染手足口病的临床表现特点及综合护理措施.方法 收集我院2013年5月-2014年5月期间诊治的重症71型肠道病毒感染手足口病患者58例作为研究对象,采用回顾性方法分析患者的临床资料,总结临床表现特点和综合护理措施.结果 研究结果显示,病毒71型手足口病患儿主要分布于1～3岁的婴幼儿群体,临床表现主要为皮疹和发热,大部分患儿合并有肢体抖动及易惊.通过对患儿实施隔离观察、生命体征监测、口腔护理、并发症预防等综合性护理干预后取得了良好的临床效果,患儿的发热、皮疹等临床症状得到明显的缓解,白细胞、血糖水平均恢复正常,护理前后比较差异具有统计学差异（P＜0.05）.结论 重症71型肠道病毒感染手足口病主要发生于婴幼儿群体,患儿的临床表现主要为皮疹、发热,通过对患儿实施隔离观察、生命体征监测、口腔护理、并发症预防等综合性护理干预可获得良好的临床效果.

Objective To analyze the clinical features of severe cases of hand foot and mouth disease infected with enterovirus type 71 and to discuss nursing care measures.Methods The clinical data was collected from 58 patients of hand foot and mouth disease infected with enterovirus type 71.The clinical features were summarized and the nursing measures were evaluated.Results The results showed that children of hand foot and mouth disease infected with virus type 71 were mainly 1-3 years old.The major clinical manifestations were characterized by skin rash and fever,accompanied with limb jitter and hyperarousal in most cases.Good clinical outcomes were achieved by comprehensive nursing interventions including isolated observation,monitoring of vital signs,oral care and prevention of complications.There was statistically difference between before and after nursing （P 〈 0.05）.Conclusions Prevention measures for complications and comprehensive nursing interventions were particularly important for severe cases of hand foot and mouth disease infected with enterovirus type 71.