郑景仙
【摘 要】目的：探讨小儿重型化脓性脑膜炎致高热的护理要点。方法整选取该院自2014年3月—2016年2月以来所收治的79例小儿重型化脓性脑膜炎致高热患者,按照掷硬币法将患者分为常规组（39例）和综合优质组（40例）。常规组采取的护理模式为常规降温等基础护理；综合优质组在常规组基础上采取综合化优质护理干预。①综合优质组患者家长对护理的满意率100.00%显著比常规组高76.92%,差异有统计学意义,P<0.05；②综合优质组肛温恢复时间、脑温恢复时间、住院时间分别为（1.23±0.34）d、（1.53±0.44）d、（12.73±2.13） d,显著比常规组（2.72±0.95）d、（2.46±0.25） d、（16.67±4.82）d短,差异有统计学意义,P<0.05；③综合优质组患者治愈率87.50%显著高于常规组53.85%,死亡率2.50%显著比常规组12.82%低,差异有统计学意义,P<0.05。结论小儿重型化脓性脑膜炎致高热给予综合化优质护理干预,可有效促进患者肛温、脑温恢复,改善患者预后,降低死亡率,缩短患者住院时间,提升患者家长的满意度,值得推广。%Objective To investigate the heavy fester sex meningitis caused by high fever nursing key points. Methods Group selection from March 2014— Febr uary 2016, 79 cases treated by pediatric heavy fester sex meningitis patients with high fever, in accordance with the coin toss method divided the patients into conventional group (39 cases) and the compre-hensive quality group (40 cases). Conventional nursing mode for the conventional cooling group and so on basic nursing; On the basis of comprehensive quality in the regular group take comprehensive quality nursing intervention. Results ①Com-prehensive quality group parents of patients for nursing satisfaction rate was 100.00% significantly than that of the conven-tional group 76.92%. There was significant difference, P< 0.05;②integrated group of high-quality rectal temperature recov-ery time, brain temperature recovery time and hospitalization time were (1.23 ± 0.34)d, (1.53 ± 0.44)d (12.73 ±2.13) d, sig-nificantly than the conventional group (2.72±0.95)d, (246± 0.25)d, (16.67 ± 4.82) days short, have significant difference, P<0.05; ③comprehensive quality group cure rate was 87.50% was significantly higher than that in the conventional group 53.85%, mortality rate of 2.50% were markedly higher than that in conventional group 12.82% low, there was statistically significant difference, P<0.05. Conclusion Children with heavy fester sex meningitis caused by high fever to giv
废液处理e compre-hensive high quality nursing intervention, which can effectively promote patients recovery anus temperature, brain tempera-ture, improve the prognosis of patients, reduce the mortality rate, shortening the time of patients in hospital, improve pa-tients' parents satisfaction, is worth promoting.
【期刊名称】《中外医疗》
【年(卷),期】水性涂料分散剂2016(035)020
【总页数】3页(P152-154)
【关键词】小儿重型化脓性脑膜炎;高热;护理要点
【作 者】郑景仙
【作者单位】山东德州市立医院儿科，山东德州 253012
【正文语种】中 文
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多媒体互动教学系统【中图分类】R47
［Abstract］Objective To investigate the heavy fester sex meningitis caused by high fever nursing key points.Methods Group selection from March 2014— February 2016，79 cases treated by pediatric heavy fester sex meningitis patients with high fever，in accordance with the coin toss method divided the patients into conventional group（39 cases）and the comprehensive quality group（40 cases）.Conventional nursing mode for the conventional cooling group and so on basic nursing；On the basis of comprehensive quality in the regular group take comprehensive quality nursing intervention.Results①Comprehensive quality group parents of patients for nursing satisfaction rate was 100.00%significantly than that of the conventional group 76.92%.There was significant difference，P＜0.05；②integrated group of high-quality rectal temperature recovery time，brain temperature recovery time and hospitalization time were（1.23±0.34）d，（1.53±0.44）d（12.73±2.13）d，significantly than the conventional group（2.72±0.95）d，（246±0.25）d，（16.67±4.82）days short，have significant difference，P＜0.05；③comprehensive quality group cure rate was 87.50%was significantly higher than that in the conventional group 53.85%，mortality rat
e of 2.50%were markedly higher than that in conventional group 12.82%low，there was statistically significant difference，P＜0.05.Conclusion Children with heavy fester sex meningitis caused by high fever to give comprehensive high quality nursing intervention，which can effectively promote patients recovery anus temperature，brain temperature，improve the prognosis of patients，reduce the mortality rate，shortening the time of patients in hospital，improve patients'parents satisfaction，is worth promoting.
［Key words］Children with heavy fester sex meningitis；High fever；Nursing key points of
小儿重型化脓性脑膜炎出现高热，主要是因为感染以及体温调节中枢直接受损害，导致功能失常所致，患者临床以稽留热、过高热等为主要表现，在高热时可出现惊厥，处理不当可导致难度增加，对患者生命安全造成影响，因而，良好有效的护理方式非常重要，有助于及时降温，提高患者治愈率，减少后遗症的发生［1］。该研究整选取该院自2014年3月—2016年2月以来所收治的79例小儿重型化脓性脑膜炎致高热患者，就小儿重型化脓性脑膜炎致高热的护理要点进行探讨，现报道如下。
1.1 一般资料
整选取该院自2014年3月—2016年2月以来所收治的79例小儿重型化脓性脑膜炎致高热患者，按照掷硬币法将患者分为常规组 （39例）和综合优质组（40例）。所有患者经腰穿脑脊液检查确诊为小儿重型化脓性脑膜炎。该研究经医院伦理委员会批准，所有患者知情同意该次研究。其中常规组男26例，女13例，年龄1-10岁，年龄平均值（5.73±1.28）岁。体温为39.0～41.6℃，体温平均值（40.17±0.38）℃。综合优质组男26例，女14例，年龄1～10岁，年龄平均值（5.65±1.23）岁。体温为39.0～41.5℃，体温平均值（40.24±0.29）℃。两组患者基线资料经χ2检验、t检验显示差异无统计学意义。
1.2 方法
所有患者确诊后给予积极综合，病因不明者给予菌必治和青霉素，并应用激素、速尿和甘露醇降低颅压；给予镇静、退热等对症处理。
常规组采取的护理模式为常规降温等基础护理，降温方法包括物理和药物降温。其中，若体温高于38.5℃，可用温水或30%～50%酒精擦浴，并给予戴冰帽或并枕，足部放置热水
袋，1 h后给予肛温测量，肛温下降不理想者冰敷大血管，若仍无效，则需要给予冰盐水灌肠。药物降温一般用安乃近滴鼻、肌注安痛定、以安宫牛黄丸鼻饲等，并给予足量抗菌素。保持病房温湿度合适，空气新鲜，并确保患者绝对卧床休息，每隔4 h进行一次体温测量，鼓励患者多饮水，必要时进行静脉补液。出汗后及时更换衣物，做好保暖护理［2］。
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