Contemporary Nursing
Contemporary Nursing. 2025; 6: (4) ; 10.12208/j.cn.20250173 .
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芜湖市第一人民医院 安徽芜湖
*通讯作者: 徐双双,单位:芜湖市第一人民医院 安徽芜湖;
目的 探究分析综合护理干预在丙种球蛋白冲击治疗小儿川崎病中的应用效果。方法 将2023年1月-2024年1月的62例接受丙种球蛋白冲击治疗的小儿川崎病患儿,随机分为对照组与观察组。对照组采用常规护理,观察组采用综合护理,对比两组实验室检查指标;不良反应发生率。结果 治疗前观两组C反应蛋白以及白细胞计数水平无明显差异,P>0.05,治疗后观察组C反应蛋白以及白细胞计数水平低于对照组,P<0.05。观察组不良反应发生率低于对照组,P<0.05。结论 在对川崎病患儿开展丙种球蛋白冲击治疗的过程中,结合综合护理干预,可显著改善患儿实验室检查指标;不良反应发生率,值得推广与应用。
Objective To explore and analyze the application effect of comprehensive nursing intervention in the treatment of Kawasaki disease in children with immunoglobulin shock therapy. Methods 62 children with Kawasaki disease who received intravenous immunoglobulin shock therapy from January 2023 to January 2024 were randomly divided into a control group and an observation group. The control group received routine care, while the observation group received comprehensive care. The laboratory test indicators of the two groups were compared; Incidence of adverse reactions. The results showed that there was no significant difference in the levels of C-reactive protein and white blood cell count between the two groups before treatment, with P>0.05. After treatment, the levels of C-reactive protein and white blood cell count in the observation group were lower than those in the control group, with P<0.05. The incidence of adverse reactions in the observation group was lower than that in the control group, with P<0.05. Conclusion In the process of administering immunoglobulin shock therapy to children with Kawasaki disease, combined with comprehensive nursing interventions, the laboratory test indicators of the children can be significantly improved; The incidence of adverse reactions is worth promoting and applying.
[1] 马娉.1例以胃肠道症状起病的川崎病患儿的护理[J].继续医学教育,2024,38(05):168-171.
[2] 俞琳,边志卫,王微,等.阿司匹林联合丙种球蛋白治疗川崎病期间低体温的护理干预[J].名医,2022(20):141-143.
[3] 苏艺娟,马劝劝.丙种球蛋白治疗川崎病发生寒战的危险因素分析及护理干预[J].心血管病防治知识,2022, 12(19): 85-87.
[4] 王娟,杨道平.1例丙种球蛋白无应答型川崎病合并消化道出血患儿的护理[J].当代护士(上旬刊),2021, 28(10): 166-168.
[5] 马小龙,刘春霞,马金海.人免疫球蛋白及阿司匹林治疗时间对儿童川崎病冠状动脉损害的预后研究[J]. 宁夏医科大学学报,2023,45(9):899-903.
[6] 栾永刚,张耀东.丙种球蛋白冲击治疗对小儿川崎病冠膜损伤的临床效果[J].现代诊断与治疗,2017,28(23):4355-4356.
[7] 齐爱华,曹荣.大剂量丙种球蛋白治疗川崎病的心功能监测及护理[J].现代护理,2007,13(35):3475-3476.
[8] 吴洁,邵亚新.护理干预对小儿川崎病临床治疗效果的影响[J].当代护士(中旬刊),2019,26(05):73-75.
[9] 蔡萍.干预川崎病并发冠状动脉损害的用药护理研究[J].中国城乡企业卫生,2020,35(07):96-98.
[10] 李艳琴,憨贞慧.比较不同用量丙种球蛋白联合阿司匹林肠溶片治疗小儿川崎病的临床观察及护理[J].河南大学学报(医学版),2020,39(02):99-101.
[11] 田玲红.优质护理干预在小儿川崎病治疗中的护理效果[J].中国继续医学教育,2019,11(28):176-178.
[12] 吴潜珍,余利辉.临床路径护理对降低丙种球蛋白治疗川崎病患儿并发症发生率的影响[J].首都食品与医药,2020, 27(17):117-118.