依地酸二钠钙联合健康教育对铅中毒儿童驱铅治疗效果分析

Effect analysis of calcium disodium ediate combined with health education on antiplumbism in children with lead poisoning

目的探讨依地酸二钠钙联合健康教育对6~12岁铅中毒儿童的治疗效果分析。方法收集我院6~12岁铅中毒儿童108例,采用随机数字表法分为观察组与对照组,每组54例。两组均给予依地酸二钠钙驱铅治疗,对照组给予常规健康指导,观察组给予健康教育、饮食指导及行为干预等综合干预模式。比较两组干预前后铅中毒防护知识评分、饮食与卫生行为习惯评分,治疗前及治疗后1个月、6个月测定血铅浓度。结果治疗1个月及随访6个月,两组血铅水平均明显下降,且观察组均低于对照组(P<0.05)。随访6个月,两组的铅中毒防护知识及饮食卫生行为评分均明显提高,且观察组明显高于对照组(P<0.05);两组患儿家长的血铅检测、高铅干预、铅中毒治疗、铅接触预防的态度积极率均较治疗前明显提高,且观察组明显高于对照组(P<0.05)。结论依地酸二钠钙驱铅治疗联合健康教育干预有助于培养患儿的铅中毒防护知识及饮食卫生行为,提高家长铅暴露防治积极态度,提高治疗效果,降低血铅水平。

Objective To investigate the therapeutic effect of calcium disodium ediate combined with health education on children aged 6-12years with lead poisoning.Methods 108children aged 6-12years with lead poisoning in a hospital were collected and divided into observation group and control group by random number table method,with 54cases in each group.Both groups were treated with disodium edisodium calcium to drive lead,the control group was given routine health guidance,the observation group was given health education,dietary guidance and behavioral intervention and other comprehensive intervention mode.The knowledge scores of lead poisoning prevention,diet and hygiene habits were compared between the two groups before and after intervention,and the blood lead concentration was measured before and after treatment at 1month and 6months.Results After 1month of the treatment and 6months of follow-up,the blood lead level of both groups decreased significantly,and the observation group was lower than the control group(P<0.05).After 6months of follow-up,the knowledge of lead poisoning protection and the score of dietary hygiene behavior in both groups were significantly improved,and that in the observation group was significantly higher than the control group(P<0.05).The positive rate of blood lead test,intervention with high lead,treatment with lead poisoning and prevention of lead exposure of parents in both groups was significantly higher than that before treatment,and the observation group was significantly higher than the control group(P<0.05).Conclusions Combination of calcium disodium ediate with health education intervention is helpful to cultivate children's knowledge of lead poisoning protection and dietary hygiene behavior,improve parents'positive attitude towards lead exposure prevention,improve antiplumbism effect and reduce blood lead level.