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1、手足口病279例临床观察及护理［摘要］目的总结儿童手足口病279例临床特点及护理经验，加深对本病的认识，提高护理水平。方法对2008年5月〜2012年2月收治的279例手足口病患儿进行临床特点分析，并采取隔离、密切观察病情、皮肤护理、口腔护理、饮食护理与心理护理等综合护理策略。结果手足口病的高发季节在5~8月，高发年龄为3岁以下小儿，279例手足口病患儿中，普通病例267例(95.7%),重症病例12例(4.3%)，除3例重症患儿死亡，其余276例均治愈。结论患儿入院后及时给予隔离并制定全面系统的护理策略能缓解患儿症状，更好地促进康复，及时发现重症病例，减少病死
2、率；及时做好手足口病患儿的消毒隔离与合理舒适的护理能够减轻患儿的症状、缩短病程及减少并发症的发生。［关键词］手足口病；临床特点；护理；儿童［中图分类号］R512.5［文献标识码］A［文章编号］1674-4721(2012)06(a)-0137-02Clinicalobservationandnursingof279childrenwithhand-foot-mouthdiseaseGUChunlingDepartmentofInfectiousDisease,theAffiliatedHospitalofLuzhouMedicalCollege,Luzhou64
3、6000,China[Abstract]ObjectiveTosummarizetheclinicalfeatureandnursingexperieneeof279childrenwithhand-foot-mouthdisease,inordertodeepenthecognitionofdisease,enhancethenursinglevel.MethodsTheclinicalfeaturesof279casesofchildrenwithhand-foot-mouthdiseaseinourhospitalfromMay2008toFebruary
4、2012wereanalyzed,andthecomprehensivenursingstrategiesofisolation,closeobservationofpatients"state,skinnursing,mouthnursing,dietnursing,psychologicalnursingwereadopted・ResultsThehighoccurrenceseasonofhand-foot-mouthdiseasewasMaytoAugust,andthehighoccurreneeagewaschildrenunder3yearsold
5、.Among279casesofchildrenwithhand-foot-mouthdisease,267cases(95.7%)wereordinarycases,12cases(4.3%)wereseriouscases,276caseswereallcured,besides3casesseverechildrenweredead.ConclusionPromptlyisolationandformulationofcomprehensiveandsystematicnursingstrategycanremitsymptomsofchildrenaft
6、eradmissiontohospital,promoterecoverypreferably,discoverseriouscasesandreducefatalityrate.Completingdisinfectionisolationofhand-foot-mouthdiseasechildrenandreasonableandcomfortablenursingtimelycanreducethesymptomsofchildren,shortenthecourseofdiseaseandreducetheoccurredofcomplications
7、.[Keywords]Hand-foot-mouthdisease;Clinicalfeature;Nursing;Children手足口病(hand,footandmouthdisease,HFMD)是由肠道病毒引起的传染病，多发生于5岁以下的婴幼儿，尤以3岁以下年龄组发病率最高。大部分病例症状较轻，少数重症病例可出现肺水肿、脑炎、脑膜炎或心肌损害，病死率较高。为了加深对该病的认识提高护理质量，本文总结了2008年5月~2012年2月本科收治的279例手足口病患儿的临床特点及护理经验。1资料与方法1.1一般资料2008年5月~2012年2月，在本院住院并确诊为
8、手足口病的患儿279例，
