持續(xù)靜脈泵入咪達(dá)唑侖治療小兒癲癇持續(xù)狀態(tài)的療效觀察及護(hù)理效果分析

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【摘要】目的：分析持續(xù)靜脈泵入咪達(dá)唑侖治療小兒癲癇持續(xù)狀態(tài)的療效及護(hù)理效果。方法：選取2017年10月—2018年10月于本院行持續(xù)靜脈泵入咪達(dá)唑侖治療的癲癇持續(xù)狀態(tài)患兒94例，根據(jù)電腦隨機(jī)抽選分組，研究組和對(duì)照組均47例，分別實(shí)行護(hù)理干預(yù)和常規(guī)護(hù)理，對(duì)比兩組療效和護(hù)理效果。結(jié)果：研究組患兒治療總有效率明顯高于對(duì)照組，而不良反應(yīng)發(fā)生率明顯低于對(duì)照組（P0.05），護(hù)理后，研究組患兒各項(xiàng)指標(biāo)評(píng)分均高于對(duì)照組，組間比較差異有統(tǒng)計(jì)學(xué)意義（P

【關(guān)鍵詞】持續(xù)靜脈泵入咪達(dá)唑侖；小兒癲癇；持續(xù)狀態(tài)；護(hù)理

基金項(xiàng)目：深圳市“醫(yī)療衛(wèi)生三名工程”（SZSM201812005）【三名工程】；深圳市醫(yī)學(xué)重點(diǎn)學(xué)科建設(shè)經(jīng)費(fèi)資助（SZXK033）【市重點(diǎn)專(zhuān)科】；廣東省高水平臨床重點(diǎn)專(zhuān)科（深圳市配套建設(shè)經(jīng)費(fèi)）資助（SZGSP012）【省重點(diǎn)專(zhuān)科】

Efficacy observation and nursing effect analysis of continuous intravenous infusion of midazolam in the treatment of status epilepticus in children

CHEN Hong， WANG Yaoye， YE Jinghua

Department of Neurology， Shenzhen Children’s Hospital， Shenzhen， Guangdong 518000， China

【Abstract】Objective To analyze the curative effect and nursing effect of continuous intravenous infusion of midazolam in the treatment of children with status epilepticus. Methods A total of 94 children with status epilepticus who were treated by continuous intravenous infusion of midazolam in our hospital from October 2017 to October 2018 were selected and randomly divided into groups according to computer selection. There were 47 cases in the study group and the control group，respectively. Nursing intervention and routine nursing were implemented，and the curative effect and nursing effect of the two groups were compared. Results The total effective rate of treatment in the study group was significantly higher than that in the control group，and the incidence of adverse reactions was significantly lower than that in the control group（P0.05）.After nursing，the scores of various indexes of children in the study group were higher than those in the control group，and the difference was statistically significant（P

【Key Words】Continuous intravenous infusion of midazolam； Epilepsy in children； Continuous status； Nursing

癲癇是小兒常見(jiàn)的一種神經(jīng)功能紊亂慢性疾病，具有病程長(zhǎng)、反復(fù)多次發(fā)作、難治愈的特點(diǎn)，其臨床癥狀多表現(xiàn)為情感異常、意識(shí)模糊、感覺(jué)異常、肌肉抽搐等，若患兒長(zhǎng)期保持癲癇持續(xù)狀態(tài)，極易危害到患者生命安全，現(xiàn)階段，臨床多采用持續(xù)靜脈泵入咪達(dá)唑侖治療，以此嚴(yán)格控制癲癇，為了進(jìn)一步提高藥物治療效果，及時(shí)改善患兒癲癇持續(xù)狀態(tài)，保證患兒身心健康，需要為行持續(xù)靜脈泵入咪達(dá)唑侖治療的癲癇持續(xù)狀態(tài)患者提供針對(duì)性、綜合優(yōu)質(zhì)的護(hù)理干預(yù)，從而減輕疾病給患兒身心帶來(lái)的痛苦[1]。（剩余3726字）