57例小儿惊厥护理分析.docVIP

57例小儿惊厥护理分析 　　【摘要】目的：分析小儿惊厥护理的临床经验，使因惊厥给患儿带来的损伤降低，改善患儿的预后。方法：对本院2010年6月-2011年6月收治的57例惊厥患儿的护理进行回顾性分析，采取保持呼吸道畅通，吸氧，口腔、皮肤护理，高温护理，心理护理等护理措施。结果：57例患儿中，病毒性脑炎、高热、低钙伴惊厥者无一例并发症发生，全部治愈出院；缺血缺氧性脑病伴惊厥的患儿病情得到及时控制，好转出院。结论：护理操作规范、重视基础护理、保证营养供给、及时供氧、认真观察病情变化能够有效提高治愈率，改善患儿预后，减少并发症。 　　【关键词】小儿；惊厥；护理 　　 　　Nursing Analysis of 57 Cases of Infantile Convulsion/WEN Li-qiong，LIU Hui-hong，YANG Yan-jiang.//Medical Innovation of China，2013，10（20）：072-073 　　【Abstract】Objective：To analyze seizures on children nursing clinical experience，and reduce the damage caused to the children because of convulsions，and improve the prognosis of infantile convulsion.Method：Nursing care of 57 cases of children with infantile convulsion in our hospital from June 2010 to June 2011 were analyzed retrospectively，the nursing measures include taken to keep the airway open，oxygen，mouth，skin care，high temperature care，psychological care and so on.Result：In the 57 cases of children with infantile convulsion，the concomitant by viral encephalitis，fever and hypocalcaemia in patients without complications occurred，and all cured.The children of Hypoxic ischemic encephalopathy withconvulsion receive timely control condition，cured and discharged from hospital.Conclusion：Nursing practice，timely attention to primary care，ensure the supply of nutrients，oxygen therapy，and careful observation of the disease changes are the effectively measures to improve cure rates and the prognosis of children with convulsion，reduce complications. 　　【Key words】Pediatric；Convulsion；Nursing 　　First-author’s address：Daojiao Hospital of Dongguan，Dongguan 523176，China 　　doi：10.3969/j.issn.1674-4985.2013.20.036 　　惊厥又称抽风或惊风，由大脑神经细胞群一过性功能紊乱引起，突然大量异常放电所致骨骼肌群发生短暂的不随意收缩运动，临床表现为全身或身体某一局部肌肉群强直性或阵挛性抽搐，起病突然，临床常伴有意识丧失，是儿科临床常见急症，以婴幼儿较为多见[1-2]。惊厥每次发作时间大多在5~10 min内，发作缓解后常出现嗜睡、醒后精神不振、肌肉软弱无力等临床症状 [3]。现对本院2010年6月-2011年6月收治的57例惊厥患儿的护理进行回顾性分析，现报告如下。 　　1资料与方法 　　1.1一般资料选取2010年6月-2011年6月收治的惊厥患儿57例，所有住院原因为惊厥的患儿均符合《小儿神经系统疾病基础与临床》中惊厥的诊断标准[4]。男37例，女20例，年龄0~14岁，平均（4.