精细化护理对痢疾性腹泻婴儿肠道功能及预后的影响

Influence of Intensive Nursing on Intestinal Function and Prognosis of Dysentery Diarrhea Infants

为观察精细化护理对痢疾性腹泻婴儿肠道功能及预后的影响,选取92例痢疾性腹泻患儿,随机分为观察组和对照组,各46例。对照组给予常规护理干预,观察组在对照组基础上给予精细化护理干预。比较两组腹泻和呕吐消失时间,住院时间,D-乳酸含量,尿乳果糖/甘露醇(L/M)值及溶血尿毒综合征发生率等。结果显示,观察组腹泻消失时间、呕吐消失时间及住院时间均短于对照组(P<0.05);治疗后观察组D-乳酸含量及尿L/M值均低于对照组,溶血尿毒综合征发生率低于对照组(P<0.05);两组败血症发生率和5d病死率比较,差异无统计学意义(P>0.05)。结果表明,对痢疾性腹泻婴儿给予精细化护理干预,能改善患儿肠道功能,缩短临床症状缓解时间,并能改善预后。

To observe the influence of intensive nursing on intestinal function and prognosis of dysentery diarrhea infant(DDI),92 DDI were randomly divided into observation group(n=46,intensive nursing intervention based on the control group)and control group(n=46,routine nursing intervention),the disappearance time of diarrhoea and vomiting,hospitalization time,D.lactic acid content,urinary fructose/mannitol(L/M)value and the incidence of hemolytic uremic syndrome were compared between the two groups.As results,in the disappearance time of diarrhea and vomiting,hospitalization time observation group was both shorter than control group(P<0.05);in the D.lactic acid content,urinary fructose/mannitol(L/M)value and the incidence of hemolytic uremic syndrome,observation group was all lower than control group(P<0.05);there was no significant difference in the incidence of septicemia and 5-day mortality(P>0.05).The results show that intensive nursing intervention for DDI could improve their intestinal function,shorten the time of clinical symptom relieved,and improve prognosis.