重症手足口病并发脑炎患儿综合性护理干预效果分析

目的：探讨重症手足口病并发脑炎综合性护理的临床意义。方法选择2012年5月-2013年8月我院收治的70例肠道病毒71型手足口病并发脑炎患儿，随机分为两组院观察组35例应用综合性护理，对照组35例以常规护理；比较两组发热、皮疹、精神萎靡、肢体抖动的消失时间和平均住院日、并发症发生率。结果观察组发热和皮疹消退均较对照组快（P〈0.01或〈0.05），精神萎靡和肢体抖动消失时间、平均住院日均较对照组短（P〈0.01）；观察组并发症的发生率显著低于对照组（P〈0.01）。结论重症手足口病并发脑炎患儿应用综合性护理可以减少并发症的发生，促进病情恢复。

The effect of comprehensive nursing intervention in children cases with severe hand-foot-mouth disease complicated with encephalitis

Objective To investigate the application effect of comprehensive nursing care for severe hand-foot-mouth disease （HFMD） complicated with encephalitis. Methods A total of 70 children cases with severe HFMD complicated with encephalitis induced by enterovirus 71 infection admitted in our hospital from May 2012 to August 2013 were di-vided into observation group 35 cases and control group 35 cases. The control group was given symptomatic care, the observation group was given comprehensive nursing intervention. The fever and herpes subsided time, fatigue and limb shaking disappearance time, the average length of stay in hospital and the rate of complications were compared between two groups. Results The fever and herpes subsided time, fatigue and limb shaking disappearance time, the average hos-pitalization time in the observation group were shorter than the control group statistically （P〈0.05 or P〈0.01）, hospital-ization time of the observation group was significantly shorter than the control group（P〈0.01）. The occurrence of compli-cations in the observation group were reduced in the observation group compared to the control group （P〈0.01）. Conclu-sion Comprehensive nursing intervention in children cases with severe type of HFMD complicated with encephalitis, combined with regular treatment, can reduce the incidence of complications and promote disease recovery.