两种护理方式在丙种球蛋白冲击治疗川崎病患儿护理应用的效果观察

Curative effect of two nursing methods of Kawasaki in the treatment and nursing care of disease immunoglobulin

目的探讨丙种球蛋白冲击治疗川崎病患儿中两种护理方法及其临床意义。方法将我院2015年1月~2017年1月22例川崎病患儿作为研究对象,均分为两组,予以丙种球蛋白冲击治疗。对照组采取常规护理模式,观察组实施综合护理及延续护理干预。观察两组生活质量、实验室检查指标以及不良事件发生情况。结果观察组出院时、出院15、30d生活质量高于对照组,出院15、30d C反应蛋白、血小板计数、白细胞计数各项指标数据均优于对照组,未出现不良事件,与对照组相比差异较大(P<0.05)。结论在丙种球蛋白冲击治疗川崎病中,综合护理及延续护理干预可在不同时期发挥作用。

Objective To investigate the two nursing methods of children with Kawasaki disease treated by gamma globulin challenge and its clinical significance. Methods 22 cases of children with Kawasaki disease cured in our hospital from January 2015 to January 2017 were selected as the object of study. They were divided into two groups, and all of them were treated with gamma globulin shock treatment. Patients in control group were treated with routine nursing mode, and patients in observation group were treated with comprehensive nursing and extended nursing intervention. The quality of life, the laboratory examination index and the occurrence of adverse events were observed. Results At the time of discharge, 15 days and 30 days later, the quality of life of the observation group was higher than that of the control group. After 15 days and 30 days of discharge, the data of C-reactive protein, platelet count and white blood cell count of the observation group were better than those of the control group. There were no adverse events in the observation group, which were different from the control group（P 〈 0.05）. Conclusion In combination with gamma globulin in the treatment of Kawasaki disease, comprehensive care and extended care interventions can play a role in different periods.