探讨儿保门诊对婴儿湿疹进行家庭干预指导及效果.docVIP

精品论文 参考文献 探讨儿保门诊对婴儿湿疹进行家庭干预指导及效果 黄飞燕 　　（西南医科大学附属医院儿保科 四川泸州 646000） 　　【摘要】目的:探讨儿保门诊对婴儿湿疹进行家庭干预的指导及效果。方法:选取2015年6～2015年12月在我院儿保科健康体检的婴儿1000例，随机分为观察组和对照组,每次各500例。对照组常规体检，观察组在常规体检的基础上对家庭成员进行婴儿湿疹相关知识讲解，及时对早期婴儿湿疹进行家庭干预指导，对湿疹婴儿进行随访记录，对比两组婴儿湿疹患病程度、近期治疗效果、复发率。结果:观察组婴儿患湿疹程度轻、近期治疗效果好、复发率低，与对照组相比差异均有统计学意义。结论:在儿保门诊开展婴儿湿疹家庭干预指导，具有早期、连续、有效的特点，提高了婴儿健康指数，减轻婴儿痛苦，值得临床推广。 　　【关键词】婴儿湿疹；儿保门诊；家庭干预；效果 　　【中图分类号】R473.72 【文献标识码】A 【文章编号】1007-8231（2016）05-0043-02 　　【Abstract】Objective Investigate the effect about guidance of child health care clinic for infant eczema through family intervention. Methods Select 1000 cases of infants examined in child health care clinic from June 2015 to December 2016, randomly divided into observation group and control group, each of the 500 cases. In control group, make the routine physical examination. In observation group, explain the knowledge of infantile eczema for family members on the basis of routine examination, timely make the guidance on early infantile eczema through family intervention, record the flup of infantile eczema. Compare the degree of infantile eczema, the recent therapeutic effect and recurrence rate in two groups. Results There is mild eczema, good recent treatment effect and low recurrence rate in the observation group compared with the control group, the difference was statistically significant. Conclusion The guidance of child health care clinic for infant eczema through family intervention is early, continuous and effective, it improves infant health index, relieve the pain of the baby, and is worth the clinical promotion. 　　【Key words】Infant eczema; Child health care clinic; Family intervention; Effect 　　婴儿湿疹又称奶癣，是儿保门诊常见的一种皮肤病，病因复杂，常由多种内外因素引起，并且与变态反应有关，好发于面部，也可发于头部及躯干四肢。表现为多形性发疹，有红斑、丘疹、水疱、糜烂、渗出、结痂及鳞屑等伴有严重瘙痒，婴幼儿因此常烦躁哭闹，影响进食和睡眠，继发细菌感染时会出现全身症状，严重者影响患儿的生活质量和健康成长。近年由于饮食、环境等多因素影响，婴幼儿湿疹发病呈增多趋势[1]。我院儿保门诊为探求婴儿湿疹更好解决办法，对婴儿湿疹采取采取家庭干预指导，取得良好效果，现报道如下： 　　1.资料与方法 　　1.1 一般资料 　　选取2015年6～2015年12月在我院儿保科健康体检的婴