早期综合性护理措施对重症病毒性脑炎患儿康复质量的影响

目的探讨早期综合性护理措施对重症病毒性脑炎患儿预后质量的影响。方法选取2011年1—9月收治的120例重症病毒性脑炎患儿为干预组，在患病早期即采取多项综合性的康复护理措施；选取2008年1—9月所收治的105例重症病毒性脑炎患儿为对照组，只采取一般性的常规护理。出院时对两组患儿的治疗有效率、Glasgow评分、Fugl—Meyer评分、EEG和平均住院日进行评估。结果干预组患儿的治疗总有效率为95．8％，对照组为82．9％，两组比较差异有统计学意义（X^2=30．94，P〈0．01）。出院时干预组患儿的Glasgow评分、Fugl—Meyer评分与对照组比较差异有统计学意义（P均〈0．05），干预组患儿在EEG恢复正常方面较对照组提高，在平均住院日方面缩短。结论对重症病毒性脑炎患儿早期即开展多项综合性的护理措施能够有效地促进患儿的预后，提高其康复质量。

Effect of early comprehensive rehabilitation care on the quality of rehabilitation of severe viral encephalitis children

Objective To explore the effect of early comprehensive rehabilitation care on the quality of rehabilitation of severe viral encephalitis children. Methods Totals of 120 children with severe viral encephalitis were selected between January 2011 and September 2011 as the intervention group received comprehensive rehabilitation care in early stage of the disease. And 105 children with severe viral encephalitis between January and September 2008 as the control group received routine nursing. Their treatment efficiency, Glasgow score, Fugl - Meyer score, EEG and average hospitalization days were observed in two groups. Results General effective rate was 95.8% of intervention group and 82. 9% of the control group, and the difference was statistically significant （ X^2 = 30.94,P 〈0.01 ）. Glasgow score and Fugl-Meyer score of intervention group was significantly higher than that of control group （P 〈 0.05）. As the intervention group had higher recovery rate and fewer hospitalization days than that of control group. Conclusions Early introduction of comprehensive rehabilitation for children of sever viral encephalitis can effectively promote their recovery and improve the quality of recovery.