持续静脉泵入咪达唑仑治疗小儿癫痫持续状态的疗效观察及护理效果分析

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【摘要】目的：分析持续静脉泵入咪达唑仑治疗小儿癫痫持续状态的疗效及护理效果。方法：选取2017年10月—2018年10月于本院行持续静脉泵入咪达唑仑治疗的癫痫持续状态患儿94例，根据电脑随机抽选分组，研究组和对照组均47例，分别实行护理干预和常规护理，对比两组疗效和护理效果。结果：研究组患儿治疗总有效率明显高于对照组，而不良反应发生率明显低于对照组（P0.05），护理后，研究组患儿各项指标评分均高于对照组，组间比较差异有统计学意义（P

【关键词】持续静脉泵入咪达唑仑；小儿癫痫；持续状态；护理

基金项目：深圳市“医疗卫生三名工程”（SZSM201812005）【三名工程】；深圳市医学重点学科建设经费资助（SZXK033）【市重点专科】；广东省高水平臨床重点专科（深圳市配套建设经费）资助（SZGSP012）【省重点专科】

Efficacy observation and nursing effect analysis of continuous intravenous infusion of midazolam in the treatment of status epilepticus in children

CHEN Hong， WANG Yaoye， YE Jinghua

Department of Neurology， Shenzhen Children’s Hospital， Shenzhen， Guangdong 518000， China

【Abstract】Objective To analyze the curative effect and nursing effect of continuous intravenous infusion of midazolam in the treatment of children with status epilepticus. Methods A total of 94 children with status epilepticus who were treated by continuous intravenous infusion of midazolam in our hospital from October 2017 to October 2018 were selected and randomly divided into groups according to computer selection. There were 47 cases in the study group and the control group，respectively. Nursing intervention and routine nursing were implemented，and the curative effect and nursing effect of the two groups were compared. Results The total effective rate of treatment in the study group was significantly higher than that in the control group，and the incidence of adverse reactions was significantly lower than that in the control group（P0.05）.After nursing，the scores of various indexes of children in the study group were higher than those in the control group，and the difference was statistically significant（P

【Key Words】Continuous intravenous infusion of midazolam； Epilepsy in children； Continuous status； Nursing

癫痫是小儿常见的一种神经功能紊乱慢性疾病，具有病程长、反复多次发作、难治愈的特点，其临床症状多表现为情感异常、意识模糊、感觉异常、肌肉抽搐等，若患儿长期保持癫痫持续状态，极易危害到患者生命安全，现阶段，临床多采用持续静脉泵入咪达唑仑治疗，以此严格控制癫痫，为了进一步提高药物治疗效果，及时改善患儿癫痫持续状态，保证患儿身心健康，需要为行持续静脉泵入咪达唑仑治疗的癫痫持续状态患者提供针对性、综合优质的护理干预，从而减轻疾病给患儿身心带来的痛苦[1]。（剩余3726字）

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