院前急救指导应用于小儿高热惊厥治疗的效果探讨
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摘要
目的观察院前急救指导应用于小儿高热惊厥治疗的效果。方法从2016年1月—2017年12月该院急救站救治的高热惊厥患儿中方便抽选80例纳入该次实验,按照随机排列表法分为常规组和干预组,各40例。常规组患儿等待急救人员到达现场后实施常规急救护理,干预组患儿实施院前急救指导,对比两组患儿的治疗效果以及不良事件发生情况。结果干预组治疗总有效率为97.50%,常规组治疗总有效率为82.50%,干预组治疗总有效率高于常规组,差异有统计学意义(χ~2=12.500,P=0.000);干预组高热消退时间为(28.67±5.59)min、惊厥消失时间为(5.56±0.23)min,常规组高热消退时间为(36.74±6.44)min、惊厥消失时间为(7.21±0.44)min,干预组高热消退时间、惊厥消失时间均短于常规组,差异有统计学意义(t=5.985,P=0.000;t=21.019,P=0.000);干预组患儿不良事件发生率为5.00%,常规组患儿不良事件发生率为22.50%,干预组患儿不良事件发生率低于常规组,差异有统计学意义(χ~2=12.912,P=0.000)。结论对高热惊厥患儿实施院前急救指导,可以提高治疗总有效率,利于尽快缓解患儿的高热、惊厥症状,有效防止不良事件的发生,对保证患儿生命安全具有重要意义。
Objective To observe the effect of pre-hospital first aid instruction in the treatment of febrile seizures in children. Methods From January 2016 to December 2017, 80 patients with febrile seizures in our hospital were convenient selected and enrolled in this study. They were divided into routine group and intervention group according to the randomized list method, 40 cases each. In the routine group, the first-aid care was performed after the first-aid personnel arrived at the scene, and the children in the intervention group were given pre-hospital first-aid guidance to compare the treatment effects and adverse events of the two groups. Results The total effective rate was 97.50% in the intervention group and 82.50% in the conventional group. The total effective rate in the intervention group was higher than that in the conventional group. The difference was statistically significant(χ~2=12.500, P=0.000). The regression time was(28.67±5.59)min, the convulsion disappearance time was(5.56±0.23) min, the routine group high heat regression time was(36.74±6.44)min, the convulsion disappearance time was(7.21±0.44) min, and the intervention group had high heat regression time. The time of convulsion disappeared was shorter than that of the conventional group. The difference was statistically significant(t=5.985, P=0.000; t=21.019, P=0.000). The incidence of adverse events in the intervention group was 5.00%. The incidence of adverse events was 22.50%. The incidence of adverse events was lower in the intervention group than in the conventional group. The difference was statistically significant(χ~2=12.912, P =0.000). Conclusion Pre-hospital first-aid guidance for children with febrile seizures can improve the total effective rate of treatment, help to relieve the symptoms of high fever and convulsions as soon as possible, and effectively prevent the occurrence of adverse events, which is of great significance to ensure the safety of children.
Objective To observe the effect of pre-hospital first aid instruction in the treatment of febrile seizures in children. Methods From January 2016 to December 2017, 80 patients with febrile seizures in our hospital were convenient selected and enrolled in this study. They were divided into routine group and intervention group according to the randomized list method, 40 cases each. In the routine group, the first-aid care was performed after the first-aid personnel arrived at the scene, and the children in the intervention group were given pre-hospital first-aid guidance to compare the treatment effects and adverse events of the two groups. Results The total effective rate was 97.50% in the intervention group and 82.50% in the conventional group. The total effective rate in the intervention group was higher than that in the conventional group. The difference was statistically significant(χ~2=12.500, P=0.000). The regression time was(28.67±5.59)min, the convulsion disappearance time was(5.56±0.23) min, the routine group high heat regression time was(36.74±6.44)min, the convulsion disappearance time was(7.21±0.44) min, and the intervention group had high heat regression time. The time of convulsion disappeared was shorter than that of the conventional group. The difference was statistically significant(t=5.985, P=0.000; t=21.019, P=0.000). The incidence of adverse events in the intervention group was 5.00%. The incidence of adverse events was 22.50%. The incidence of adverse events was lower in the intervention group than in the conventional group. The difference was statistically significant(χ~2=12.912, P =0.000). Conclusion Pre-hospital first-aid guidance for children with febrile seizures can improve the total effective rate of treatment, help to relieve the symptoms of high fever and convulsions as soon as possible, and effectively prevent the occurrence of adverse events, which is of great significance to ensure the safety of children.
引文
[1]陈峰.综合护理干预在小儿高热惊厥护理中的应用效果[J]护理研究,2015(12):1519-1520.
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[2]翟明媚,邱爽,周红艳,等.小儿高热惊厥危险因素的探讨及门诊护理干预[J].中国实用神经疾病杂志,2016,19(10):134-135.
[3]聂呈呈.综合降温保护护理对高热惊厥患儿治疗效果及复发率的影响[J].国际护理学杂志,2016,35(13):1766-1768.
[4]闫玉群.小儿高热惊厥护理效果临床指标及满意度分析[J]中国实用神经疾病杂志,2017,20(24):98-101.
[5]李娟,王丹,王艳,等.小儿高热惊厥的危险因素及护理对策[J]实用临床医药杂志,2017,21(18):107-109.
[6]彭雪金,赵鑫,缪燕灵,等.循证护理对小儿高热惊厥复发的预防效果评价[J].护理实践与研究,2017,14(22):84-85.
[7]刘桂梅.65例高热惊厥患儿院前急救干预措施的应用效果及预后[J].中国妇幼保健,2017,32(14):3208-3210.
[8]魏杰.小儿高热惊厥的院前急救护理探析[J].临床医药文献电子杂志,2015(25):5175-5177.