循证护理在EV71型重症手足口病并脑炎患儿中的应用

陈桂琼　莫柳仪　陈丽珊

[摘要]目的 探讨循证护理在EV71型重症手足口病合并脑炎患儿中的应用效果。方法 选取2015年3月～2016年3月我院EV71型重症手足口病合并脑炎患儿140例，随机分为观察组和对照组，两组患儿均进行常规临床治疗，对照组采用常规护理措施，对照组采用循证护理方法，比较两组患儿总有效率及住院时间。结果 观察组患儿的总有效率（94.29%）高于对照组（74.29%），住院时间[（8.5±2.5）d]短于对照组[（12.0±3.0）d]，差异有统计学意义（P<0.01）。结论 在EV71型重症手足口病合并脑炎患儿的治疗中使用循证护理干预能够明显提高治疗效果，加快患者康复时间。

[關键词]EV71型重症手足口病；脑炎；循证护理

[中图分类号] R473.72 [文献标识码] A [文章编号] 1674-4721（2017）06（a）-0159-03

[Abstract]Objective To explore the application of evidence based nursing in children with severe hand-foot-and-mouth disease （EV71） combined with encephalitis.Methods 140 children patients with severe hand-foot-and-mouth disease （EV71） combined with encephalitis in our hospital from March 2015 to March 2016 were selected and randomly divided into the observation group and the control group.The two group were all given clinical routine therapy，and the control group was given routine nursing，the observation group was given evidence based nursing.The effective rate and length of hospital stays were compared between two groups.Results The effective rate in the observation group （94.29%） was higher than that in the control group （74.29%），the length of hospital stays [（8.5±2.5） d] was longer than that in the control group [（12.0±3.0） d]，and the differences were statistically significant（P<0.01）.Conclusion In children with severe severe hand-foot-and-mouth disease （EV71） type merger encephalitis used in the treatment of evidence-based nursing intervention can significantly improve the treatment effect， speed up the patients′ recovery time.

[Key words]EV71 type severe hand-foot-mouth disease；Encephalitis；Evidence-based nursing

EV71型重症手足口病是由肠道病毒感染而引起的急性传染病，是一种比较常见的小儿疾病，可通过消化道、呼吸道、接触传播，该病如不能及时进行治疗，威胁患儿的生命健康，给患儿的生活带来诸多的不便以及深远的影响，其主要发病人群为年龄<5岁的儿童，主要临床症状为患儿厌食，手、足、口、臀部出现皮疹或者疱疹，并有发热现象[1]，少数患儿可合并脑炎、脑膜炎、肺水肿等并发症，严重可直接导致患儿死亡。相关研究认为，对于EV71型重症手足口病合并脑炎患儿，有效的护理是提高患儿治疗效果的关键[2]。本次研究选取我院140例肠道病毒引发的重症手足口病合并脑炎患儿进行循证护理干预，其临床效果与常规护理相比更加优越，现报道如下。

1资料与方法

1.1一般资料

选取我院2015年3月～2016年3月接受治疗的140例EV71型重症手足口病合并脑炎患儿，随机分为观察组与对照组。其中观察组有70例，男43例，女27例；……