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目的:探索手足口病患儿高危风险评估方法,以助于判断手足口疾病轻重程度及病情进展。方法:将5718例在门诊输液治疗的手足口病患儿随机分为对照组(n=2798)和实验组(n=2920),对照组按常规方法对病情进行评估预测及护理;实验组应用手足口病患儿高危风险评估方法,根据评估表上项目,逐项打分,按分数划分病情轻重和预测疾病发展趋势,并前瞻性施以干预措施,并比较二组患儿向危重症方向的转归率及死亡率。结果:二种方法划分得出的轻型和重型数和向危重症方向的转归率均有显著差异,P<0.05。结论:手足口病患儿高危风险评估方法有助于判断疾病轻重程度和预测疾病发展趋势,能提醒医护人员及早施以干预措施,对阻遏疾病向危重症方向发展起重要作用。
Objective: To explore the risk assessment method for HFMD in children with HFMD to help determine the severity of HFMD and the progression of the disease. Methods: 5718 HFMD children were randomly divided into control group (n = 2798) and experimental group (n = 2920). The patients in control group were evaluated and predicted by conventional methods. HFMD risk assessment method in children with HFMD was scored item by item according to the items on the assessment table. The severity of the disease was estimated according to the scores and the trend of disease development was predicted. Interventions were prospectively applied and compared between the two groups Turnover rate and death rate. Results: There was a significant difference in the rates of light and heavy numbers divided by the two methods and the critical rates of critical illness (P <0.05). Conclusion: Risk assessment of HFMD in children with HFMD can help to determine the severity of the disease and predict the development trend of the disease. It can remind health care workers to take intervention as soon as possible, which plays an important role in the development of critical disease prevention.