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目的:观察甘露醇在抢救小儿高热惊厥中的作用。方法:将169例小儿高热惊厥患儿随机分为二组,分别用二种不同的抢救措施:①对照组:用常规措施,包括镇静止痉、降温、保持呼吸道通畅和吸氧、能量供给、输液等;②甘露醇治疗组:常规措施加静脉注射甘露醇。对比应用两种措施后惊厥停止时间、神志转清时间、退热时间、再发、复发、继发癫痫等方面的效应,以此作为临床疗效判断指标。结果:甘露醇治疗组小儿高热惊厥患儿在惊厥停止时间、神志转清时间、降温时间明显缩短,再发、复发、继发癫痫患者明显减少。结论:静脉注射甘露醇加常规措施抢救小儿高热惊厥疗效明显优于常规措施,疗效差异有显著意义,值得推广。
Objective: To observe the role of mannitol in the rescue of children with febrile seizures. Methods: 169 cases of pediatric febrile seizures were randomly divided into two groups, respectively, with two different rescue measures: ① control group: with conventional measures, including sedative and antispasmodic, cooling, maintaining airway patency and oxygen supply, energy supply, Infusion, etc .; ② mannitol treatment group: routine measures plus intravenous mannitol. Contrasting the two measures of seizure stopping time, conscious mind clearing time, antipyretic time, recurrence, relapse, secondary epilepsy and other aspects of the effect, as a judge of clinical efficacy indicators. Results: In the mannitol group, children with febrile seizures had significantly shorter duration of seizures, time of conscious mind clearance and cooling time, and decreased recurrence, recurrence and secondary epilepsy. Conclusion: The intravenous administration of mannitol plus conventional measures to rescue pediatric febrile seizures is obviously superior to the routine measures. The difference in curative effect is significant and worthy of promotion.