棋牌大全下载安装

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                            1. 当前位置: 代写一篇论文多少钱 > 医学论文 > 重症手足口病患儿早期预警护理的运用

                              重症手足口病患儿早期预警护理的运用

                              时间:2018-12-23 10:30作者:李明菊
                              本文导读:这是一篇关于重症手足口病患儿早期预警护理的运用的文章,手足口病是一种临床常见的儿科疾病,口痛、厌食、低热、手、足、口小疱疹是该疾病的主要临床症状,该疾病是一种由肠道病毒所引起的传染病,柯萨奇病毒A组16型和肠道病毒71型是引发该疾病的主要病毒类型。

                                摘    要: 目的 探讨重症早期预警的护理措施在临床患儿手足口病中的应用研究。方法 从郑州大学附属儿童医院选取2017年04月到2018年10月进行治疗的50个手足口病患儿作为研究对象,采用随机数字表法将所有患儿分为两组,每组25例患儿,对照组患儿应用常规护理,观察组患儿应用重症早期预警的护理措施进行临床护理,对比分析两组患儿临床症状改变情况以及不良反应发生的机率。结果 观察组患者采用重症手足口早期预警护理措施后,观察组患者临床表现症状优于对照组患者,观察组患者不良反应发生机率很大程度上低于对照组,两组间差异显着(P <0.05)。结论 对小儿手足口病患儿应用重症早期预警护理措施,可以进一步改善患儿临床症状,并降低不良反应情况的发生,从而缓解患儿病情,值得临床应用。

                                关键词: 重症手足口病早期预警; 有效护理措施; 小儿手足口病;

                                SHOUZUKOUBINGSHIYIZHONGLINCHUANGCHANGJIANDEERKEJIBING,KOUTONG、YANSHI、DIRE、SHOU、ZU、KOUXIAOPAOZHENSHIGAIJIBINGDEZHUYAOLINCHUANGZHENGZHUANG,GAIJIBINGSHIYIZHONGYOUCHANGDAOBINGDUSUOYINQIDECHUANRANBING,KESAQIBINGDUAZU16XINGHECHANGDAOBINGDU71XINGSHIYINFAGAIJIBINGDEZHUYAOBINGDULEIXING。TONGSHI,GAIJIBINGDEBINGQINGBIANHUASUDUJIAOKUAI,RUGUOBUJISHICAIQUYOUXIAOFANGFAJINXINGZHILIAO,JIANGKENENGDAOZHIHUANZHECHUXIANQITABINGFAZHENG,RU,XINJIYAN、FEISHUIZHONGDENG。YINCI,WEILETIGAOHUANERLINCHUANGZHILIAOXIAOGUO,LINCHUANGYINGCAIQUYOUXIAODEZHILIAOFANGFAYUHULIGANYUCUOSHI,ZAILINCHUANGYIXIANHULIGONGZUOZHONGYINGYONGZHONGZHENGSHOUZUKOUBINGZAOQIYUJINGHULICUOSHI,KEYIYOUXIAOJIANGDIBINGQINGEHUAJILV,GAIHULICELVEZUNXUNLE“ZONGHEGUANCHA、FANGZHIJIEHE、YINRENERYI”DEYUANZE,JIANGQIYINGYONGYUXIAOERSHOUZUKOUBINGLINCHUANGZHILIAOZHONGNENGQUDELIANGHAOXIAOGUO。SUOYIBENPIANWENZHANGZHONGJIUZHONGZHENGSHOUZUKOUBINGZAOQIYUJINGDEHULICUOSHIZAIXIAOERSHOUZUKOUBINGZHONGDEYINGYONGYANJIUJINXINGLEFENXI,XIANQINGKUANGBAOGAORUXIA。

                                1 、资料与方法

                                1.1 、一般情况资料

                                CONGZHENGZHOUDAXUEFUSHUERTONGYIYUANXUANQU2017NIAN04YUE-2018NIAN10YUEJINXINGZHILIAODE50GESHOUZUKOUBINGHUANERZUOWEIYANJIUDUIXIANG,CAIYONGSUIJISHUZICHOUQUFAJIANGSUOYOUHUANERFENWEILIANGZU,MEIZU25LIHUANER,DUIZHAOZU(n=25),QIZHONGNANXINGHUANERWEI12LI,NVXINGHUANERWEI13LI,NIANLINGWEI0.8SUIDAO5SUI,PINGJUNNIANLINGWEI(2.9±1.25)SUI,BINGCHENGWEI5XIAOSHIDAO27XIAOSHI,PINGJUNBINGCHENGWEI(16±7.5)XIAOSHI;GUANCHAZU(n=25),QIZHONGNANXINGHUANERWEI11LI,NVXINGHUANERWEI14LI,NIANLINGWEI0.5SUIDAO5SUI,PINGJUNNIANLINGWEI(2.6±1.35)SUI,BINGCHENGWEI6XIAOSHIDAO27XIAOSHI,PINGJUNBINGCHENGWEI(16.5±7.8)XIAOSHI。XIANGBIJIAOLIANGZUHUANERYIBANQINGKUANGZILIAO,WUXIANZHECHAYICHAYI(P>0.05),JUYOUKEBIXING。

                              棋牌大全下载安装   NARUBIAOZHUN:(1)FUHEXIAOERSHOUZUKOUJIBINGDEHUANZHE,JIHUANERCUNZAIBUTONGCHENGDUDESHOU、ZU、KOUBUWEIDEPAOZHENZHENGZHUANG,QIEBANYOUFAREDENGBULIANGZHENGZHUANG;(2)ZHILIAOYICONGXINGJIAOGAODEHUANER;(3)JIASHUQIANSHUZHIQINGTONGYISHUDEHUANER。

                                排除标准:(1)患有其他严重疾病的患儿,如,心、肺、肾疾病;(2)治疗依从性较差的患儿。
                               

                              重症手足口病患儿早期预警护理的运用
                               

                                1.2、 方法

                                DUIZHAOZUHUANERCAIYONGXIAOERSHOUZUKOUBINGHULICHANGGUIJINXINGHULI,ZHUYAOLINCHUANGHULINEIRONGYOU:HULIRENYUANDUIHUANERJINXINGYINGYANGZHICHIHULI,BINGDUISUOYOUHUANERSHISHICHUANGPANGGELI、QUANSHENPIFUQINGKUANGHULIYIJIKOUQIANGHULIDENG。

                                GUANCHAZUHUANERYINGYONGZHONGZHENGZAOQIYUJINGHULICUOSHI,ZHUYAOHULICUOSHIYOU:

                                (1)DUIHUANERTIWENHULI。HULIRENYUANYINGJISHICELIANGHUANERTIWEN,ZAIHULIGUOCHENGZHONGFAXIANHUANERTIWENGAOYU37.5SHESHIDUDIYU38.5SHESHIDU,YINGDUIHUANERJIYUWENSHUICAYU,SONGKAIYIBEI,KAICHUANGTONGFENGDENGXIANGGUANWULIJIANGWENCUOSHI,BINGGAOZHIHUANERPEIHURENYUANJIYUHUANERDUOYINYONGWENSHUI。RUOFAXIANHUANERTIWENGAOYU38.5SHESHIDU,HULIRENYUANYINGCAIQUYAOWUJIANGWENYIJILENGYANSHUIGUANCHANGDENGJIANGWENCUOSHI,BINGJISHIXIANGYISHENGGAOZHIHUANERSHIJIQINGKUANG,YIJUYIZHUFUYONGXIANGGUANJIANGWENYAOWU[1]。

                                (2)SHENJINGXITONGXIANGGUANZHUANGKUANGHULI。LINCHUANGHULIRENYUANYINGYANMIGUANCHAGEZHONGLINCHUANGZHENGZHUANG,YOUQIGUANCHAHUANERJINGSHENZHUANGTAIJIYISHI,RUOFAXIANHUANERCHUXIANZHITIDOUDONG、YICHANGKUNAO、CHOUCHUDENGBULIANGZHENGZHUANGHUANER,YINGGENJUYIZHUJIYUHUANERGANLUCHUNJINGMAIZHUSHETUOSHUIYIJIJINGMAIYONGBINGZHONGMIANYIQIUDANBAI,BINGJISHIZUOHAOYUFANGGUODUTUOSHUIDEXIANGGUANZHILIAOCUOSHI;RUHUANERBINGQINGBIJIAOYANZHONGSHI,KECAIYONGZHENJINGKANGJINGJUEYAOWU[2]。RUOHUANERCHUXIANHUXIFEILIYIJIJULIEKESOUDENGLINCHUANGZHENGZHUANGSHI,HULIRENYUANYINGYANMIGUANCHAHUANERHUXIXITONG,ZHUYAOGUANCHAHUXIPINLV,JIELV,YIJITANYEXINGZHI,YANSE,BINGTINGZHENHUANERFEIBUSHIFOUCHUXIANSHILUOYIN,KEDUIHUANERJINXINGXIONGPIANJIANCHA,YICICHONGFENLEJIEHUANERHUXIXITONGBINGBIANQINGKUANG,QIZHONGZUICHANGJIANDEHUXIXITONGBINGFAZHENGWEIFEISHUIZHONG,YINCIHULIRENYUANYINGCHONGFENZHANGWOGAIJIBINGDELINCHUANGBIAOXIAN,NENGGOUJISHIZHENGQUEDESHIBIEGAIJIBING。RURUOHUANERCHUXIANSIZHIJUELENGDENGXIANXIANG,LINCHUANGYIXIANHUSHIYINGJISHIYANMIGUANCHAHUANERBINGQINGBIANHUA,JIANCEHUANERMAOXIXUEGUANNEIDECHONGYINGSHIJIANBIANHUAQINGKUANG[3]。

                                (3)XUEYEXUNHUANXITONGHULI。HULIRENYUANYINGJISHICELIANGJINGPIXUEYANGBAOHEDU、XINLVYIJIMOSHAOXUETANGBIANHUAQINGKUANG,RUOFAXIANHUANERLINCHUANGZHIBIAOCHUXIANYICHANG,HULIRENYUANYINGLIJIBAOGAOYISHIDUIHUANERJIYUXIANGGUANYAOWUJINXINGZHILIAO,JIANGHUANERGEXIANGZHILIAOZHIBIAOKONGZHIDAOZHENGCHANGFANWEIZHINEI[4]。

                              棋牌大全下载安装   (4)JIAQIANGHUANERLINCHUANGJICHUHULI。HULIRENYUANDUIYUYOUKOUQIANGPAOZHENHUANERYINGJINXINGYINGYANGZHICHI,HULIRENYUANYINGGAITIXINGHUANERPEIHURENYUANJIYUSHIYONGWENLIANGYINSHI,BINGBAOZHENGHUANERYINSHIWEISHENGJISHOUWEISHENG,JISHIDUIHUANERJINXINGKOUQIANGHULI,SHIDEHUANERKOUQIANGWEISHENGBAOCHIGANJING;HULIRENYUANJISHIDUCUJIAZHANGSHIKEBAOCHIBINGFANGWEISHENGGANJINGZHENGJIE,YINGZAOLIANGHAOSHUSHIDEBINGFANGHUANJING,BINGDIAOJIEHAODIAOSHINEIWENDU,BAOCHIBINGFANGWENDUSHUSHI,BIMIANHUANERGANJUESHILENGJIMENRE;HULIRENYUANYINGJISHIDUIBINGFANGJINXINGXIAODU,JIANCHIMEITIANYONGZIWAIXIANDENGHUOYICIXINGXIAODUSHIJINJINXINGXIAODU,BINGJISHICHULIHAOHUANERPAIXIEWU,JIANGHUANERDESHENGHUOYONGPINJISHIXIAODU,BIMIANHUANERCHUXIANJIAOCHAGANRAN[5]。

                                1.3、 观察指标

                              棋牌大全下载安装   FENXILIANGZUHUANZHELINCHUANGBIAOXIANGAIBIANQINGKUANG(ZHUYAOFENXILIANGZUHUANERTUIRESHIJIANDEZHANGDUAN、PAOZHEN/PIZHENXIAOTUISHIJIAN、ZHUYUANSHIJIAN)YIJIBULIANGFANYINGFASHENGJIJILV(BULIANGFANYINGFASHENGJILVYUEDI,BIAOSHILINCHUANGLIAOXIAOYUEHAO)。

                                1.4、 统计学方法

                                BENCIYANJIUCAIYONGSPSS 21.0TONGJIXUERUANJIANJINXINGFENXIYANJIU,JILIANGZILIAOYIBIAOSHI,CAIYONGtJIANYAN,JISHUZILIAOYONGn(%)BIAOSHI,CAIYONGχ2JIANYAN,YIP<0.05CHAYIYOUTONGJIXUEYIYI。

                                2 、结果

                                2.1、 两组患儿临床症状改善情况比较分析

                              棋牌大全下载安装   GUANCHAZUHUANERYINGYONGZHONGZHENGZAOQIYUJINGHULICUOSHIHOU,GUANCHAZUHUANERLINCHUANGZHENGZHUANGGAISHANQINGKUANGMINGXIANYOUYUDUIZHAOZU,LIANGZUJIANCHAYIMINGXIAN(P<0.05),JIANBIAO1。

                                表1 两组患儿临床症状改善情况比较分析()
                              表1 两组患儿临床症状改善情况比较分析()

                                2.2 、比较两组患儿不良反应发生率

                                GUANCHAZUHUANERBULIANGFANYINGFASHENGLVMINGXIANDIYUDUIZHAOZU,LIANGZUJIANCHAYIXIANZHE(P<0.05),JIANBIAO2。

                                表2 比较两组患儿不良反应发生率[n(%)]
                              表2 比较两组患儿不良反应发生率[n(%)]

                                3、 讨论

                              棋牌大全下载安装   LINCHUANGXIAOERSHOUZUKOUBINGSHIYIZHONGCHUANRANXINGHENQIANGJIBING,GAIJIBINGCHANGFAYU6GEYUEZHI5SUIERTONG,XIAJISHIGAIJIBINGDELINCHUANGFABINGQI。YINFAGAIJIBINGDEZHUYAOYINSUWEIERTONGCHANGDAOCHUXIANBINGDUGANRAN,ZHUYAOLINCHUANGZHENGZHUANGBIAOXIANWEI:HUANERSHOUBU、KOUQIANGYIJIZUBUDENGBUWEIDALIANGDECHUXIANPAOZHENXIANXIANG,BINGQIEYIHUANERTIWENYICHANGSHENGGAOWEIZAOQIBIAOXIAN。ZAIZHILIAOXIAOERSHOUZUKOUBINGGUOCHENGZHONG,YINGYONGZHONGZHENGSHOUZUKOUZAOQIYUJINGHULICUOSHIKEYOUXIAOGAISHANHUANERLINCHUANGZHONGZHENGBIAOXIAN,BINGJIANGDIZHONGZHENGFANYINGFASHENGLV,LINCHUANGYINGYONGXIAOGUOLIANGHAO。

                              棋牌大全下载安装   ZHONGZHENGZAOQIYUJINGHULIMOSHISHIYOUYINGGUOXUEZHESHOUCITICHULAIDE,GAIHULIGANYUCUOSHIZAIDANGQIANLINCHUANGZHONGDEDAOGUANGFANYINGYONG,TONGGUOCONGHUANERDEGEFANGMIANDEHULIXUQIUCHUFA,WEIQITIGONGQUANMIANDE、MANYIDEHULIFUWU,QIZHONGBAOKUOTIWENHULI、SHENJINGXITONGXIANGGUANZHUANGKUANGHULI、XUEYEXUNHUANXITONGHULIDENG,YICISHIHUANERDEGEXIANGLINCHUANGZHENGZHUANGDEDAOXIANZHEGAISHAN,SHIHUANERDETIZHENGHUIFUSHIJIANDEYISUODUAN,QIZAIYIDINGCHENGDUSHANGNENGCUJINHUANERJIBINGDEKANGFU,YINCI,ZAIXIAOERSHOUZUKOUBINGLINCHUANGZHILIAOCAIYONGZHONGZHENGZAOQIYUJINGHULIMOSHINENGQUDELIANGHAOXIAOGUO,QIJUYOUZHONGYAOLINCHUANGYINGYONGJIAZHI。

                                BENXIANGYANJIUJIEGUOXIANSHI,DUISHOUZUKOUBINGHUANERCAIYONGZHONGZHENGZAOQIYUJINGHULICUOSHIHOU,KEGAISHANHUANERLINCHUANGBIAOXIANZHENGZHUANG,BINGJIANGDIZHONGZHENGFASHENGLV,LIANGZUJIANCHAYIXIANZHE(P<0.05),JUTIYUANYINTIXIANZAI:DUIHUANERJINXINGTIWENHULI,SHIDEHUANERTIWENCHUYUZHENGCHANG;BINGDUIHUANERJINXINGSHENJINGXITONGHULI,MIQIEGUANCHAHUANERLINCHUANGZHENGZHUANG,ZHUYAOGUANCHAHUANERJINGSHENZHUANGTAI、HUXIZHUANGKUANGYIJISHENTISHIJIQINGKUANG,FAXIANHUANERCUNZAIRENHEBULIANGFANYINGHOU,JISHICAIQUXIANGYINGCUOSHI,ZHANGWOHAOHUANERBINGQINGBIANHUA,YICIKEYOUXIAOGAISHANHUANERLINCHUANGZHENGZHUANG,BINGKEJIANGDIBULIANGFANYINGFASHENGLV。DUIHUANERJINXINGXUNHUANXITONGHULI,BINGJIAQIANGSHENGHUOGEFANGMIANDEHULI,NENGGOUCHONGFENLEJIEHUANERXUEYANGBAOHEDU、XINLVYIJIXUETANGBIANHUAQINGKUANG,RUOHUANERCHUXIANYANZHONGYICHANGBIANHUA,DUIHUANERJIYUXIANGGUANYAOWUJINXINGZHILIAO,KEYOUXIAOKONGZHIHUANERGEXIANGSHENTIZHIBIAOQUYUZHENGCHANG,YICIKEYOUXIAOJIANGDIBULIANGFANYINGFASHENGLV。

                                ZONGSHANGSUOSHU,DUIXIAOERSHOUZUKOUBINGHUANERYINGYONGZHONGZHENGZAOQIYUJINGHULI,KEJINYIBUGAISHANHUANERLINCHUANGZHONGZHENGZHENGZHUANG,BINGJIANGDIBULIANGFANYINGFASHENGDEJILV,CONGERHUANJIEHUANERBINGQING。

                                参考文献

                                [1]崔娜,CUINa.重症早期预警的护理策略在小儿手足口病中的效果影响[J].中国继续医学教育,2016,8(4):207-208.
                                [2]杨献玲,李丽景.血液净化在重症手足口病患儿治疗中的应用效果及护理[J].护理实践与研究,2017,14(5):67-68.
                                [3]黄日妹,张友惠,杨云智,等.前瞻性早期护理干预在控制重症手足口病患儿病情恶化中的应用效果[J].国际护理学杂志,2016,35(6):750-752.
                                [4]贺春霞.探讨优质护理干预在重症手足口病患儿中的应用效果[J].中国实用医药,2017,12(11):175-176.
                                [5]潘彩金,刘启华,许丽芳,等.前瞻性护理干预对重症手足口病患儿的影响[J].护理实践与研究,2016,13(8):68-69.

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