持续静脉泵入咪达唑仑治疗小儿癫痫持续状态的护理体会

Nursing Experience of Continuous Intravenous Infusion of Midazolam in the Treatment of Children's Status Epilepticus

目的分析持续静脉泵入咪达唑仑治疗小儿癫痫持续状态的临床效果与护理。方法选取2016年9月～2017年9月本院收治的60例小儿癫痫持续状态的患儿作为研究对象,将患儿随机分为对照组(30)例、观察组(30)例,两组患儿均采用持续静脉泵入咪达唑仑药物展开治疗,其中对照组患儿给予基础护理干预,观察组患儿给予全面护理干预。比较两组患儿的治疗效果。结果与对照组相比,观察组患儿的治疗总效率更高,且观察组患者的发病时间、发病间隔优于对照组;另外,观察组患儿不良反应发生率更低,护理满意度更高,差异均有统计学意义(P <0.05)。结论将持续静脉泵入咪达唑仑与全面护理干预应用于小儿癫痫持续状态患儿临床中,能够有效提高患儿的治疗效果,降低患儿不良反应发生率。因此,该护理方法与护理干预值得在临床中应用。

Objective To analyze the clinical effect and nursing of midazolam with midazolam in the treatment of children with epilepsy. Methods From September 2016 to September 2017 in our hospital 60 cases of children with status epilepticus children as the research object, the patients were randomLy divided into control group (30 cases) and observation group (30 cases), the control group was treated with sodium valproate and 5% glucose solution stability adjuvant therapy plus routine nursing;the patients in the observation group with continuous intravenous infusion of midazolam medication, and given the comprehensive nursing intervention in children. The treatment effect of two groups of children was compared. Results Compared with the control group, the observation group with the treatment of the total efficiency is higher, and the observation group, the patients with onset time interval is better than the control group;in addition, adverse reactions in the observation group nursing satisfaction rate is lower, higher, the differences were statistically significant (P < 0.05). Conclusion Continuous intravenous infusion of midazolam and comprehensive nursing intervention in children with status epilepticus can effectively improve the treatment effect and reduce the incidence of adverse reactions in children. Therefore, this nursing method is worth popularizing in clinical practice.