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综合急救方案对上呼吸道感染并发高热惊厥患儿的疗效 被引量:28

Effect of comprehensive first aid scheme on upper respiratory tract infection children complicated with high febrile seizure
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摘要 目的探讨综合急救方案对上呼吸道感染致高热惊厥患儿疗效的影响。方法选取2017年5月-2018年9月于福建省妇幼保健院接受治疗的82例上呼吸道感染致高热惊厥患儿为研究对象,按照随机数表法将患儿分为研究组与对照组,每组各41例;对照组采用常规急救方法进行治疗,研究组在对照组的基础上加以综合加强急救治疗。比较两组患儿的惊厥时间、退热时间及住院时间;对两组患儿进行为期半年的出院随访并比较两组患儿的复发情况;观察并比较两组患儿的疗效。结果研究组惊厥消失时间、退热时间及住院时间分别为(3.67±3.14)天、(28.01±19.23)h、(5.43±2.25)天,均短于对照组(P<0.05)。研究组患儿复发率为2.44%(1/41)低于对照组的36.59%(15/41),(P=0.025)。研究组疗效优于对照组(P=0.021)。结论综合急救方案能为临床医务人员提供高效的急救指导,帮助临床医务人员迅速展开治疗工作。综合急救方案能有效改善上呼吸道感染致高热惊厥患儿的临床症状,提高疗效,降低患儿的复发率。 OBJECTIVE To explore the effect of comprehensive first aid scheme on children with high febrile seizures caused by upper respiratory tract infection.METHODS Totally 82 children with febrile convulsions caused by upper respiratory tract infection in Fujian Maternal and Child Health Hospital from May.2017 to Sep.2018 were randomly divided into control group(n=41)and study group(n=41).The control group was treated with routine first-aid methods,and the study group was treated with the first-aid treatment on the basis of the control group.The convulsion time,fever time and hospitalization time of the two groups were compared.The two groups were followed up for half a year and the recurrence of the two groups were compared.The therapeutic effects of the two groups were observed and compared.RESULTS The convulsion disappearance time,fever time and hospitalization time in the study group were(3.67±3.14)days,(28.01±19.23)h,and(5.43±2.25)days,respectively,which were lower than those in the control group(P<0.05).The recurrence rate in the study group was 2.44%(1/41),which was shorter than that in the control group 36.59%(15/41)(P=0.025).The efficacy of the study group was better than that of the control group(P=0.021).CONCLUSIONThe comprehensive first aid scheme can provide effecient first aid guidance for clinical medical staff and help clinical staff to quickly treatment.The comprehensive first aid scheme can effectively improve the clinical symptoms of children with high febrile seizures caused by upper respiratory tract infection,improve the curative effect,and reduce the recurrence rate of children.
作者 肖云珍 罗玉星 苏燕清 蒋丽媛 陈巧平 付慧敏 XIAO Yun-zhen;LUO Yu-xing;SU Yan-qing;JIANG Li-yuan;CHEN Qiao-ping;FU Hui-min(Fujian Provincial Maternity and Child Care Center,Fuzhou,Fujian 350001,China)
出处 《中华医院感染学杂志》 CAS CSCD 北大核心 2019年第20期3150-3153,共4页 Chinese Journal of Nosocomiology
基金 福建省自然科学基金资助项目(2737422) 福建省妇幼保健院院内科研课题{闽妇院行[2017]25号}
关键词 综合急救方案 上呼吸道感染 高热 惊厥 Comprehensive first aid program Upper respiratory tract infection High fever Convulsion
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