1 阜阳市第二人民医院感染科，安徽 阜阳 236015
2 阜阳市第二人民医院护理部，安徽 阜阳 236015
3 阜阳市第二人民医院儿科，安徽 阜阳 236015
目的：探讨重症早期预警护理模式在手足口病患儿中的临床应用效果。方法：选取阜阳市第二人民医院感染科2017年4月至2019年2月收治的手足口病患儿60例，按随机数字表法分为实验组与对照组，每组各30例。对照组患儿采取常规护理，实验组在常规护理基础上采用重症早期预警护理模式，比较两组患儿临床症状消失时间、住院时间、病情转归情况、患儿家长对护理的满意度，观察两组患儿干预前后空腹血糖(fasting blood-glucose，FPG)、神经元特异性烯醇化酶(neuron specific enolase，NSE)以及肌酸激酶(creatine kinase，CK)水平变化。结果：与干预前相比，两组患儿干预后的FPG，NSE及CK水平降低(P<0.05)；实验组患儿干预后FPG，NSE及CK含量均显著低于对照组(P<0.05)；与对照组相比，实验组患儿的退热时间、疱疹消退时间、口腔溃疡愈合时间、住院时间、重症及并发症发生率均明显降低(P<0.05)，而实验组患儿护理的满意度增加(P<0.05)。结论：重症早期预警护理模式可以显著降低重症手足口发病率，具有较好的临床应用效果。
Clinical effect of severe early warning nursing model in children with hand foot and mouth disease
CorrespondingAuthor: XU Xiaozhen
This work was supported by the 2017 New Technology Project of Fuyang Second People’s Hospital, China [Medical (2017) No. 32].
Objective: To investigate the clinical application of severe early warning nursing mode in children with hand-foot-mouth disease (HFMD). Methods: A total of 60 HFMD children who were admitted to pediatric department of the hospital from April 2017 to February 2019 were enrolled. The random number table method was performed to divide them into an experimental group and a control group, 30 cases in each group. The control group was given routine nursing. The experimental group was given severe early warning nursing mode based on routine nursing. The disappearance time of clinical symptoms, hospitalization time, disease outcome, and satisfaction of their parents were compared between the two groups. The changes in fasting blood glucose (FPG), neuron-specific enolase (NSE) and creatine kinase (CK) levels in both groups before and after intervention were observed. Results: After intervention, levels of FPG, NSE and CK in both groups were decreased (P<0.05). After intervention, contents of FPG, NSE and CK in experimental group were significantly lower than those in control group (P<0.05). Compared with those in control group, fever relieving time, herpes fade time, healing time of oral ulcer, hospitalization time, incidence of critical illness and complications were significantly decreased in experimental group (P<0.05), while nursing satisfaction was increased (P<0.05). Conclusion: Severe early warning nursing mode can significantly reduce incidence of severe HFMD, with relatively good clinical application effect.
hand-foot-mouth disease; severe early warning nursing mode; satisfaction