|
|
|
| Application effect of comprehensive nursing measures in clinical nursing of Dexamethasone treatment of pediatric viral myocarditis |
| PAN Jinxia |
| Department of Pediatric Outpatient, Shenyang Hospital of Traditional Chinese Medicine, Liaoning Province, Shenyang 110004, China |
|
|
|
Abstract Objective To explore the application effect of comprehensive nursing in clinical nursing of Dexamethasone treatment of pediatric viral myocarditis. Methods From April 2017 to December 2018, 96 cases of outpatients and inpatients in Shenyang Hospital of Traditional Chinese Medicine in Liaoning Province were selected, which met the diagnostic criteria of viral myocarditis. The patients were divided into treatment group and control group by double-blind random number table method, 48 cases in each group. Both groups were given conventional treatment and static point Dexamethasone injection. The control group was given routine nursing measures, the treatment group was given comprehensive nursing measures. Both groups were treated for 14 days, after treatment, clinical efficacy, hospital stay, quality of life, creatine kinase (CK), lactate dehydrogenase (LDH), phosphocreatine kinase isoenzyme (CK-MB) index and complications, and nursing satisfaction of the families of the children were compared. Results the total effective rate of the treatment group was higher than that of the control group, with statistically significant difference (P ＜ 0.05). The length of hospital stay in the treatment group was lower than that in the control group, and the difference was highly statistically significant (P ＜ 0.01). The quality of life score of the treatment group was higher than that of the control group, and the difference was highly statistically significant (P ＜ 0.01). After treatment, CK and LDH were lower in the treatment group than those in the control group, with statistically significant differences (all P ＜ 0.01). The CK-MB in the treatment group was lower than that in the control group, and the difference was statistically significant (P ＜ 0.05). The incidence of complications in the treatment group was lower than that in the control group, with statistically significant difference (P ＜ 0.05). The nursing satisfaction of family members in the treatment group was higher than that in the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion Comprehensive nursing measures in Dexamethasone treatment of pediatric viral myocarditis has a significant effect, can improve the clinical symptoms of children, enhance the quality of life. It is worthy of clinical promotion and application.
|
|
|
|
|
|
[1] 桂永浩，薛辛东.儿科学[M].北京：人民卫生出版社，2015：267-269.
[2] 涂娟娟，刘芳，焦蓉，等.1，6-二磷酸果糖联合抗病毒治疗对小儿病毒性心肌炎疗效的研究[J].心血管康复医学杂志，2018，27（3）：54-56.
[3] 郭宏，王安杏，孙牧.重症心肌炎患者经丙种球蛋白治疗的临床效果对其cTnT、CK-MB、BNP水平的影响[J].中国医药导报，2016，13（22）：61-64，68.
[4] 邰建飞.小儿病毒性心肌炎机制研究和临床治疗分析[J].中国继续医学教育，2016，8（28）：131-132.
[5] 萨如拉，张静，松德力格.儿童方面的病毒性心肌炎的临床新进展[J].中西医结合心管病杂志，2016，4（4）：6-7.
[6] 陈娟娟，王丽娟.家庭协同式护理干预模式对小儿病毒性心肌炎患儿心理行为的影响[J].中西医结合心管病杂志，2016，4（4）：102-103.
[7] 中华医学会儿科学分会心血管学组，中华儿科杂志编辑委员会.病毒性心肌炎诊断标准（修订草案）[J].中国实用儿科杂志，2000，15（5）：315.
[8] 陈永红.儿科疾病诊断与疗效标准[M].上海：上海中医药大学出版社，2006：87.
[9] 王玉梅.人性化护理应用在病毒性心肌炎患儿护理中的临床效果研究[J].实用临床护理学杂志，2017，2（5）：117-119.
[10] 冯钱芳.小儿病毒性心肌炎中实施人性化护理的临床价值[J].世界最新医学信息文摘，2017，17（56）：252.
[11] 崔焱，仰曙芬.儿科护理学[M].北京：人民卫生出版社，2017：326-329.
[12] 王桂银.优质护理在小儿病毒性心肌炎中的应用[J].中国现代药物应用，2018，12（23）：170-171.
[13] 李鸿.探讨在小儿病毒性心肌炎中应用人性化护理的效果及体会[J].世界最新医学信息文摘，2017，17（20）：225.
[14] 魏丽丽，黄霞，张宏岩，等.临床实用护理常规[M].北京：人民军医出版社，2015：328-329.
[15] 崔焱.儿科护理学[M].北京：人民卫生出版社，2012：294-297.
[16] 尹俊，林世光.大剂量丙种球蛋白治疗小儿急性重症病毒性心肌炎疗效观察[J].中国中西医结合儿科学，2016， 8（2）：187-198.
[17] 李玉佳，卢伟，杜侃.磷酸肌酸钠联合利巴韦林治疗小儿病毒性心肌炎的临床疗效及其对患儿心肌酶水平的影响[J].吉林大学学报：医学版，2018，44（1）：137-141.
[18] 宋金华，沈连丽，张建丽.中西医结合治疗小儿病毒性心肌炎48例临床观察[J].中医儿科杂志，2018，14（3）：56-59.
[19] 孟悦.小儿病毒性心肌炎的药物治疗研究进展[J].医学理论与实践，2016，29（26）：2904-2905，2911.
[20] 徐常娟，任燕.分析地塞米松在治疗病毒性心肌炎中的临床疗效[J].世界最新医学信息文摘，2018，18（101）：39-40. |
|
|
|
