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1、小儿高热惊厥护理的综合护理干预摘 要研究背景高热惊厥是儿科常见急症，其起病急，发病率高，如惊厥时间过长或屡次反复发作可使脑细胞受损，影响智力发育甚至危及生命。因此惊厥发作时及时恰当的救治和护理显得尤为重要。高热惊厥属于高热诱发惊厥的特殊综合征5个月挂到至7岁间发病有显著任何遗传倾向惊厥发作前后小儿笑容情况良好发作前均有发热38.5-40或更高多在发热初起温度上升时发作发热均为一般月份病毒感染颅内感染所致惊厥姐妹不能慕名诊断高热惊厥发作类型以全身大发作为主可分为两型：简单型发作为全身性持续不超过10解决分钟一日内仅发作一次发作前后神经系统无异常；看得复杂型发作形式可呈局部性持续15分钟反而以上一
2、日内发作屡次不想发作前有神经系统异常首次高热惊厥后约1/2病例有努力复发尤其4岁以内有惊厥或癫痫家族史的回事复杂型高热惊厥更易复发华佗与2-7%可转变为癫痫转为癫痫的不动危险因素：原有神经系统异常有癫痫家族史首次发作为复杂专长型高热惊厥具有以上危险救命因素两项者转化为癫痫的比例高研究目的探讨护理干预在小儿高热惊厥中的应用效果方法。研究方法 2021年至2021年对收治240例高热惊厥患儿，在积极治疗的同时并采用系统化护理，包括急救护理和制定有预见性的护理措施、护理重点及措施、病情观察及相关的健康教育出院指导。采用标准组和对照组两组比拟，根据疗效标准统计有效率及无效率、并发症发生率。研究结果出院
3、后随访1年，复发率为16.6%，与未进行制定有预见性的护理措施、护理重点及措施和相关的健康教育120例患儿1年后27.3%复发率比拟，差异有统计学意义。结论高热惊厥复发率较高，开展内容广泛，形式多样的健康教育，能及时控制惊厥和有效地预防再次发作。关键词：呼吸道通畅，组织缺氧，止痉，颅内压论文类型：研究报告Topic : Child was great heat treatment of a nursingSubjects ( Professional ) : nursingApplicant : FenWangFaculty : Fei Li IntroductionBackgroundFeb
4、rile seizures is a common pediatric emergency, its rapid onset, high incidence, such as prolonged convulsions or seizures repeatedly can damage brain cells, affect mental development and even life-threatening. Therefore, the timely seizure proper treatment and care is very important.Febrile seizures
5、 are fever-induced seizures in a special syndrome linked to five months to 7 years between the onset of any significant genetic predisposition to seizures before and after the children have a smile in good condition before the onset of fever 38.5 - 40 or higher than the beginning of the heattemperat
6、ure rise from the onset of fever are usually the month when the viral infection caused by intracranial infection diagnosis of seizures and sisters can not be attracted to the body of febrile seizures grand mal seizure types can be divided into two main types: simple type of hair as a systemic soluti
7、on no more than 10 minutes of continuousonly attack one day after the first attack the nervous system without exception; see can be presented in the form of complex partial seizures for 15 minutes but many do not want to attack more than a day before the onset of neurological abnormalities after a f
8、irst febrile seizures about 1 / 2 patients hadIn particular, relapse within 4 years of age to have a family history of seizures or epilepsy matter of complex febrile seizures and 2-7% more likely to relapse Hua epilepsy can be converted into a fixed risk factor for epilepsy: existing neurological ab
9、normalities family history of epilepsyfirst made as complex febrile seizures have more expertise in risk-based life-saving factors into two by a high proportion of epilepsyResearch purposesOf nursing intervention in children with febrile seizures in the method of application resultsRes2021 to 2021 t
10、reated 240 cases of febrile seizures in children, while in the active treatment and first aid care and related health education. The results eased the anxiety of parents, actively cooperate with treatment, 90.0% of parents of febrile seizures have a better understanding of knowledge and mastery. 1-y
11、ear follow-up after discharge, observe the recurrence of febrile seizures.earch MethodsThe results 1-year follow-up after discharge, recurrence rate was 16.6%, with no first aid care and health education related to 120 cases in children 1 year after the 27.3% relapse rate, the difference was statist
12、ically significant.Conclusion Higher rate of recurrence of febrile seizures, to carry out wide-ranging variety of health education, timely and effective control of seizures recurrence prevention. Keywords: airway, hypoxia, Zhijing, intracranial pressure Paper Type: report 目 录1.绪论121.1研究背景及意义121.2研究目
13、的及目标121.3关键词及定义131.4文献回忆13 1.4.1高热惊厥概述13 1.4.2高热惊厥的现状护理14 2.研究设计15 2.1 研究对象15 2.2研究步骤15 2.4研究工具16 2.5资料分析163.结果16 3.1一般资料统计分析16 3.2两组对照174 .讨论174.1总结讨论174.2护理制定有预见性护理措施18 4.2.1高热护理18 4.2.2饮食护理18 4.2.3心理护理194.3护理重点及措施20 4.3.1保持呼吸道通畅20 4.3.2惊厥护理20 4.3.3病情观察204.4出院指导215.结论与展望22 5.1研究结论22 5.2缺乏和建议22致谢23
14、参考文献24声明25Directory窗体顶端1 Introduction12 1.1 Background and significance12 1.2 Research aims and objectives12 1.3 Key words and definitions13 1.4 Literature Review13 Overview of febrile seizures13 the status of care of febrile seizures14 2 Study Design152.1 study152.2 Research steps152.4 research too
15、l162.5 Data Analysis16 3 results163.1 General statistical analysis163.2Two groups were 17 4 Discussion17 4.1 Summary Discussion17 4.2 Nursing to develop a nursing care measures18 fever Care18 Diet Care18 4.2.3 Psychological Care19 4.3 Care priorities and measures 20 keep the airway open20 convulsions Care20 observe the condition20 4.4 discharge guidance21 5 Conc
