178例小儿高热惊厥临床护理体会.doc

178例小儿高热惊厥的临床护理体会
【摘要】目的:探讨高热引发的小儿惊厥的治疗方法及治疗效果,总结对高热惊厥小儿护理时的注意事项。方法:将178例小儿高热惊厥患者分成治疗组和对照组,治疗组给予抗惊厥药物治疗和常规的退热、原发病治疗;对照组给予常规的退热和原发病治疗,不给于任何的抗惊厥药物治疗。结果:178例患儿治疗1~2周之后全部痊愈出院,2年内随访,治疗组84例有惊厥复发的18例,%,对照组84例有惊厥复发的39例,%,两组差异有统计学意义。结论:可以认为抗惊厥药物有利于小儿高热惊厥的治疗,并可预防小儿热性惊厥复发。在应用抗惊厥药物的基础上,护理患儿时还应保持环境安静、进行物理降温、注意饮食调护等,降低惊厥引发的脑损伤,提高治愈率。
【关键词】高热惊厥;安定;苯巴比妥;护理

178 cases of pediatric nursing care of febrile seizures (clinical format)
Wsng liang hong
(First People's Hospital Shuangliu County, Sichuan 610200)
【Abstract】Objective: To investigate the heat-induced convulsions in the treatment of children and the treatment, care and summary of febrile seizures in children when the notes. Methods: 178 patients with febrile seizures in children were divided into treatment group and control group, treatment group was treated with anticonvulsant therapy and conventional cooling, the primary disease treatment; control group received conventional treatment of fever and primary disease, not given any anticonvulsant drug treatment. Results: 178 cases of children 1 to 2 weeks after treatment all were discharged within 2 years follow-up, 84 patients treated 18 patients with seizure recurrence, the recurrence rate was % in the control group of 84 patients had 39 cases of seizure recurrence, the recurrence rate % between the two groups was statistically significant. Conclusi