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编号:13366059
小儿热性惊厥的临床分析(1)
http://www.100md.com 2019年8月1日 《特别健康·下半月》 2019年第8期
     【摘要】本文对小儿热性惊厥进行临床分析,研究其特征和有效治疗方法。对我院2018年3月到2019年2月一年间80名热性惊厥患儿进行研究,通过互联网技术将其平均分成两组,即观察组和对照组。对观察组进行综合性治疗,对照组则仅进行药物治疗。观察患者临床表现,分析两种不同的治疗方法产生的效果。结果发现小儿热性惊厥主要分为局部和全身两种,一般情况下患儿在发热12小时后发生此症状,主要由上呼吸道感染引起,临床出现抽搐、全身强直阵挛性发作、面色发绀,持续时间一般为5至10分钟,少数患儿出现暂时性嗜睡现象。采取相应治疗措施后,对照组治疗有效率为75%,观察组治疗效果优于对照组治疗有效率达95%,两组比较符合统计学差异。总结发现对热性惊厥患儿进行综合性治疗能达到更好地治疗效果,降低患儿再次患病概率。

    【关键词】小儿热性惊厥;临床分析;综合性治疗法

    [Abstract] in this paper, the clinical analysis of febrile convulsion in children was carried out to study its characteristics and effective treatment Methods. A study was conducted on 80 children with febrile convulsion in our hospital from March 2018 to February 2019, and they were divided into two groups on average through Internet technology, namely the observation group and the control group. The observation group received comprehensive treatment, while the control group received only drug treatment. To observe the clinical manifestations of patients and analyze the effects of two different treatment Methods. Results found that children with fever convulsion is mainly divided into local and systemic two kinds, usually in 12 hours after fever in children with the symptoms, mainly caused by upper respiratory tract infection, clinical attacks of convulsions, whole body stiffness matrix twin sex, complexion of cyanosis, duration generally for 5 to 10 minutes, a few children with temporary lethargy. After taking corresponding treatment measures, the effective rate of treatment in the control group was 75%, and that in the observation group was 95% higher than that in the control group. The comparison between the two groups was statistically significant. It was found that comprehensive treatment for children with febrile convulsion could achieve better therapeutic effects and reduce the probability of recurrence of febrile convulsion.
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    [Key words] febrile convulsion in children; Clinical analysis; Integrative therapy

    【中图分类号】R715 【文献标识码】A 【文章编号】2095-6851(2019)08-109-01

    小儿热性惊厥是小儿惊厥疾病中较为发病率较高的急性病症,一般发生于幼儿时期,9至22个月为发病高峰年龄段[1]。小儿惊厥临床表现主要由肌肉局部或全身性抽搐、两眼斜视甚至短暂性丧失意识。此病在婴幼儿时期发病率较高,治疗措施不及时可能会导致患儿智力发育迟缓。本文通过对照研究找到小儿热性惊厥的治疗有效治疗方法,分析其临床特征及治疗效果。

    1 对象及方法

    1.1 研究对象

, 百拇医药     在征得监护人许可的情况下,以2018年3月到2019年2月到我院进行小儿热性惊厥的80名患儿为研究对象。通过临床观察判断80名患儿均符合小儿热性惊厥条件,且排除肝脏、肾脏等重要器官疾病。利用互联网互联网技术将患儿平均分成两组,观察组和对照组各40名患儿。

    1.2 基本方法

    对照组进行药物治疗,注射鲁米那6至8毫克/(kg·d)、安定0.2至0.5毫克/(kg·d),水合氯醛灌肠30至40毫克/(kg·d)。患儿体温持续升高给予其口服安定片约0.3毫克/(kg·d)。观察组出来上述治疗方法外进行综合性治疗。①在监护人帮助下,引导患者平卧位,保持患儿头侧偏,使其呼吸道畅通。若临床观察病情较重进行吸痰处理,保证患儿吸氧量充足,防止脑组织损失。②使用浓度范围在30%至50%的医用乙醇涂抹于患儿腋下、两侧颈部、额头部位,服用退烧药品,缓解病情发展。③静脉注射0.2至0.5毫克/kg的安定,并控制速度低于每分钟一毫克,总量不超于10毫克。静脉注射鲁米那5至8毫克/kg,总量低于100毫克/kg。静脉注射甘露醇2至4.5毫升/kg。进行上述综合性治疗后,在确定患儿病症根源,有针对性的采取治療措施。, http://www.100md.com(陈路军)
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