控制饮水在危重症手足口病急性期患儿的应用

Efficacy of drinking water in the acute stage of children with severe hand, foot and mouth disease

目的探讨控制饮水在危重症手足口病急性期患儿的应用疗效。方法将68例危重症手足口病合并脑炎的患儿作为研究对象，并随机分为对照组和观察组，每组34例。对照组采取常规治疗及护理，观察组在对照组常规治疗及护理的基础上严格控制饮水。对比2组患儿临床指标恢复的时间、并发症发生率、临床疗效。结果与对照组比较，治疗后观察组患儿的体温、心率、脉搏氧饱和度、血压、血糖、毛细血管充盈和肢体抖动的恢复时间缩短，差异有统计学意义（P〈0．05）。观察组出现心肌炎、肺水肿、肺出血等并发症的总发生率明显少于对照组，差异有统计学意义（P〈0．05）。观察组患儿治疗的有效率明显高于对照组，差异具有统计学意义（P〈0．05）。结论控制饮水能有效地控制危重症手足口病急性期患儿的病情，提高抢救成功率。

Objective To investigate the effects of controlled drinking water on the acute stage of patients with severe hand, foot and mouth disease （HFMD）. Methods A total of 68 severe HFMD children with encephalitis were ran- domly divided into a control group and an observation group （ n = 34）. The control group was received routine treatment and nursing. In addition to the routine treatment and nursing, the observation group underwent strict water control. Then, both the groups were compared for the recovery time of clinical indexes, the incidence of complications and clinical effica- cy. Results Compared with the control, children in the observation group showed remarkable decreases in the recovery time of body temperature, heart rate, the degree of blood oxygen saturation, blood pressure, blood glucose level, capil- lary filling and limb shaking （P 〈 0.05 ）. The observation group reported marked decreased incidence of myocarditis, pulmonary edema, lung hemorrhage and other complications compared with the control （ P 〈 0.05 ）. A higher efficacy was found in the observation group than the control （P 〈 0.05）. Conclusions Strict water control can significantly improve clinical symptoms, shorten the recovery time and reduce the incidence of complications.