院前急救指导应用于小儿高热晾厥治疗的效果评价

目的探讨院前急救指导应用于小儿高热惊厥的效果，以降低高热惊厥对患儿的损伤，取得最佳的急救效果。方法2009年4月至2011年2月我院儿科共收治小儿高热惊厥急救患儿112例，对其中75例患儿家长采取院前急救护理指导，此75例患儿作为院前急救护理指导组。其余37例患儿作为非院前急救护理指导组，待医护人员赶到发病现场后对其进行常规急救护理。随后分别记录2组患儿的误吸、舌咬伤、高热惊厥再度发作以及脑损伤发生情况。结果院前急救护理指导组由于家长操作不当导致误吸的仅有1例，高热惊厥3例，无脑损伤、舌咬伤情况发生，院前急救护理指导组不良后果发生率为5．3％，低于非院前急救护理指导组的51．4％。结论在医疗急救人员还未到达患儿的发病现场之前便利用移动电话对患儿家长进行院前急救护理指导，能够显著减少患儿意外损伤，稳定患儿家长情绪，降低惊厥对患儿的影响，这对改善患儿症状及其后续治疗具有积极作用。

Application of pre-hospital emergency care in children with febrile seizures and effect evaluation

Objective To investigate the effect of pre-hospital emergency care programs in chil- dren with febrile seizures, in order to reduce damage by febrile seizures and obtain the best firstaid ef- fect. Methods 112 cases of children with febrile seizures were treated in pediatric department of our hos- pital from April 2009 to February 2011. The parents of 75 children patients were given guidance of prehos- pital emergency care, they were set as the pre-hospital emergency care group. The other 37 cases were set as the non-pre-hospital emergency care group, routine emergency care was given until the medical person- nel arrived at the spot. The conditions of aspiration, tongue bite injury, another episode of febrile seizures and brain damage were recorded in two groups of children. Results Only one case of aspiration and three cases of febrile seizures occurred in the pre-hospital emergency care group by misoperation of parents. Non brain damage and tongue bite injury occurred. The incidence rate of improper consequences was 5.3% in the pre-hospital emergency care group, lower than that of the non-pre-hospital emergency care group, 51.4%. Conclusions To give pre-hospital emergency care guidance to parents of children patients by mobile phones before the health care workers reach the spot can significantly reduce accidental injury of children, stabilize the emotion of parents, decrease the impact of seizures on children, all the above has a positive effect on follow-up treatment.