基于降温急救措施的综合护理在呼吸道感染所致高热惊厥患儿中的应用效果

Application effect of comprehensive nursing based on emergency cooling measures in children with febrile convulsions caused by respiratory tract infections

目的探讨基于降温急救措施的综合护理在呼吸道感染所致高热惊厥患儿中的临床应用效果。方法选取2019年3月至2021年3月盐城市第一人民医院收治的98例呼吸道感染所致高热惊厥患儿为研究对象,采用简单随机抽样法将患儿分为对照组(49例)和观察组(49例)。对照组患儿给予常规急诊护理,观察组患儿给予基于降温急救措施的综合护理。将2组患儿的体温恢复时间、惊厥消失时间及住院时间进行比较,并将护理前后的血清生化指标进行对比,同时统计其高热惊厥复发率及并发症发生率。结果观察组患儿的体温恢复时间和惊厥消失时间均明显早于对照组,住院时间较对照组明显缩短(P均<0.05)。护理后,2组患儿的血钾及血钠水平均高于护理前,空腹血糖水平均低于护理前(P均<0.05);观察组的血钾及血钠水平均高于对照组,空腹血糖水平低于对照组(P均<0.05)。观察组患儿在出院6个月内的高热惊厥总复发率和并发症总发生率低于对照组(P均<0.05)。结论基于降温急救措施的综合护理干预可缩短高热惊厥患儿的症状消失及住院时间,改善其血清生化指标水平,降低高热惊厥复发率及并发症发生率。

Objective To explore the clinical effect of comprehensive nursing based on the emergency cooling measures in children with febrile convulsions caused by respiratory tract infections.Methods A total of 98 children with febrile convulsions caused by respiratory tract infections at Yancheng NO.1 People􀆳s Hospital from March 2019 to March 2021 were selected as the research subjects.The children were assigned into a control group(49 cases)and an observation group(49 cases)by simple random sampling.The children in the control group were given routine emergency nursing,and the children in the observation group were given comprehensive nursing based on the emergency cooling measures.The fever subsidence time,convulsion disappearance time,hospitalization time,as well as the serum biochemical indicators before and after nursing,were compared between the two groups.The recurrence rate of febrile convulsions and incidence of complications were counted.Results The fever subsidence time,convulsion disappearance time,and hospitalization time of the observation group were significantly shorter than those of the control group(all P<0.05).After nursing,the blood potassium and sodium levels of the two groups were higher than those before nursing,and the fasting blood glucose level was lower than that before nursing(all P<0.05).The blood potassium and sodium levels of the observation group were higher than those of the control group,and the fasting blood glucose level was lower than that of the control group(all P<0.05).The total recurrence rate of febrile convulsions and total incidence of complications in the observation group were lower than those in the control group within 6 months after discharge(both P<0.05).Conclusion Comprehensive nursing intervention based on the emergency cooling measures can shorten the symptom disappearance time and hospitalization time of children with febrile convulsions,improve the levels of serum biochemical indicators,and reduce the recurrence rate of febrile convulsions and incidence of complications.