综合护理干预在小儿高热惊厥中的应用

目的：观察小儿高热惊厥中应用综合护理干预的效果。方法资料选取内蒙古医科大学附属医院2011年3月-2012年3月收治的高热惊厥患儿共138例，将其分为研究组与对照组，其中对照组69例予常规护理，研究组69例在上述护理的基础上予综合护理干预。观察两组患儿的预后相关指标水平及血清生化检查结果，对患儿行2年随访，观察惊厥复发情况。结果研究组惊厥消失时间为（38.77±10.52）s，住院时间为（7.69±2.38）d，均显著少于对照组[（68.94±19.68）s，（13.04±2.17）d]，差异均有统计学意义（P〈0.05）；护理后研究组血钾、血钠、血糖水平均显著优于对照组，差异均有统计学意义（P〈0.05）；随访末期研究组8例（11.59%）复发，显著低于对照组[19例（27.54%）]，差异有统计学意义（P〈0.05）。结论小儿高热惊厥中应用综合护理干预能够有效改善预后，恢复患儿正常血清生化指标，降低复发率，临床效果显著，具有应用价值。

Application of comprehensive nursing intervention in children with febrile convulsion treated

Objective To observe the effect of children with febrile convulsion treated with comprehensive nursing in-tervention. Methods 138 cases were selected from patients with febrile convulsion who received treatment in the Affil-iated Hospital of Inner Mongolia Medical University from March 2011 to March 2012. They were divided into the re-search group and the control group. The research group （69 cases） was given the comprehensive nursing intervention and the common nursing; while the control group （69 cases） was given the common nursing. Then levels of prognostic index and results of biochemistry of blood serum of two groups were observed, 2 years of follow-up on children were made in order to observe the relapse of convulsion. Results The elapsed time of convulsion and length of stay in the research group [（38.77±10.52） s and （7.69±2.38） d] were less than those in the control group [（68.94±19.68） s and （13.04±2.17） d], with statistical significance differences （P〈 0.05）. After nursed, levels of blood potassium, blood sodium, blood sugar in the research group were superior to those in the control group, with statistical significance differ-ences （P〈0.05）. At the end of follow-up, 8 cases in the research group （11.59%） relapsed, which was apparently lower than that in the control group （19 cases, 27.54%）, with statistical significance differences （P〈0.05）. Conclusion Chil-dren with febrile convulsion giving comprehensive nursing intervention can improve prognosis, make serum biochemical indexes normal and reduce relapse rate, it has obviously clinical effect and application value.