熊鹰++大剂量丙球蛋白治疗川崎病的疗效观察及护理.docVIP

丙种球蛋白治疗川崎病的疗效观察及护理 熊鹰 芜湖市第二人民医院儿科 241000 [摘要]目的：为了进一步提高临床对小儿川崎病的治疗效果和实施更好的护理方案，探讨和研究丙种球蛋白在小儿川崎病治疗过程中的应用价值和意义，并寻找最优的护理方案。方法：按照随机抽取的原则选取52例川崎病患儿作为考察对象，分为观察组（26例）和对照组（26例），其中对照组患者治疗上给予普通剂量方案的丙种球蛋白进行治疗，而观察组患者采取丙种球蛋白方案治疗加以优质护理，对比两组患者的治疗效果及各化验指标的转归情况。结果：观察组患儿临床症状好转时间、住院天数及各化验指标好转情况明显好于对照组患儿，且两组比较差异具有统计学意义（p0.05）。结论：在治疗川崎病时选取应用丙种球蛋白进行治疗，除了能提高治疗效果外还有利于各检验指标的尽快好转。在为患儿输注丙种球蛋白时要求护理人员必须时刻保持无菌观念，输液速度不宜快，而且针对川崎病的特点实施有效护理，治疗效果更理想。 [关键词] 丙种球蛋白；川崎病；疗效观察及护理 Efficacy observation and nursing for l gamma globulin on treating kawasaki disease [Abstract]Objective:To discuss and study the values of applying large dose of gama globulin in treating infant with kawasaki disease,and look for a better nursing method,so as to further improve the clinical efficacy for treating kawasaki disease.Methods:52 infants with kawasaki were randomly selected as the study objects,and divided them into observation group (26 cases) and control group (26 cases),the control group was given common dose of gama globulin,observation group was given large dose of gama globulin,treatment efficacy and prognosis of all indicators of two groups were compared.Results:The recovery time,admission days and improvement of all indicators of observation group were significantly better than control group,differences were statistically significant (p0.05).Conclusion:For the treatment of kawasaki disease,large dose of gama globulin should be applied,which not only can improve treatment efficacy but also help all indicators recover to normal,and nurses must keep aseptic concept all the time while injecting gama globulin,the injection speed should not be too fast,the efficacy can be more ideal that adopting effective nursing focused on features of kawasaki disease. 川崎病是好发于婴幼儿的一种急性且具有自限性质的血管炎症，其可以累积全身大小血管，目前发病原因尚未清楚。为了增加治愈率和实现最优的护理方案，我院小儿科对52例川崎病患儿分别运用不同剂量的丙种球蛋白治疗，现将结果总结报告如下: 1资料与方法 1.1一般资料 按照随机双盲对照的原则选取52例于2012年1月至2013年12月在我院儿科住院治疗的川崎病患儿作为考察对象，将其分为观察组（26例）和对照组（26例），入组的患儿均符合川崎病的6项诊断标准；入组的患儿中含有30例男患儿和22例女患儿；患儿年龄3个月-9岁，平均年龄（4