目的:探讨在提高变应性鼻炎(AR)儿童鼻腔冲洗中情境体验式健康教育的价值。方法:选取东莞市妇幼保健院2020年6月至2021年2月100例接受鼻腔冲洗治疗的AR患儿作为研究对象，经随机数字表法分为观察组和对照组，均为50例。对照组予以常规健康教育，观察组在此基础上予以情境体验式健康教育。比较两组鼻腔冲洗操作正确率、居家鼻腔冲洗依从性、患儿家属满意度。结果:观察组鼻腔冲洗操作正确率为94.00%高于对照组的80.00%；观察组较对照组居家鼻腔冲洗依从性升高；观察组患儿家属较对照组满意度各项评分升高，差异均有统计学意义(均 P<0.05)。 结论:情境体验式健康教育能提高AR患儿的鼻腔冲洗操作正确率，改善居家鼻腔冲洗依从性，患儿家属满意度高。

目的:遴选并总结国内外关于儿童变应性鼻炎舌下免疫治疗随访的最佳证据,为临床实践提供参考.方法:应用循证方法学,通过PIPOST模式提出儿童变应性鼻炎舌下免疫治疗随访管理的问题,按照证据资源"6S"模型逐层检索相关文献,对纳入本研究的证据根据类型进行方法学质量评价和分级.结果:共纳入文献16篇,其中临床决策1篇,指南6篇,证据总结1篇,系统评价2篇,专家共识/立场声明6篇.从随访时间和方式、用药的宣教、不良反应及处理、疗效的评估4个维度的内容进行总结,共提取了28条最佳证据.结论:在临床实践中要以基于循证的策略解决变应性鼻炎舌下免疫治疗病人提出的问题,把握随访的时间和方式,加强用药的宣教,重视不良反应及处理,动态并持续评估病人治疗的效果.在应用最佳证据时还应考虑病人意愿和具体临床情况,形成有效、可行的、个体化的随访管理方案,从而提高护理质量.

目的:分析在小儿免疫性血小板减少症患儿护理中予以临床护理路径的应用价值.方法:2018年2月-2019年2月收治小儿免疫性血小板减少症患儿100例,根据不同护理方法分为两组,各50例.试验组给予临床护理路径;对照组给予常规护理.比较两组护理效果.结果:试验组住院时间、健康知识掌握率、护理满意度、预后质量评分及护理质量评分均优于对照组,差异有统计学意义(P<0.05).结论:在小儿免疫性血小板减少症患儿护理中予以临床护理路径,能明显提高护理满意度,并进一步改善患儿预后效果.

目的 探讨围手术期护理干预在小儿扁桃体切除手术中的应用价值.方法 选取2019年7月1日～2019年1月2日收治入院的小儿扁桃体切除手术患者40例作为本次研究对象,采用盲选法平均分为研究组与对照组.其中对照组采用常规护理方法干预,研究组在常规护理干预的基础上给予围手术期护理干预.得出所有数据结果 收集并做相关的比较分析.结果 ①小儿扁桃体切除手术患者家属满意度比较:研究组>对照组,差异有统计学意义(P<0.05),有临床有统计学意义.②小儿扁桃体切除手术患者FLAC疼痛评分量表评分比较:手术前研究组与对照组,差异无统计学意义(P>0.05);术后24 h、术后48 h、术后72 h研究组>对照组,差异有统计学意义(P<0.05).③小儿扁桃体切除手术患者术后并发症发生率比较:研究组>对照组,差异有统计学意义(P<0.05).结论 围手术期护理干预在小儿扁桃体切除手术中的应用效果显著,值得临床推广.

目的 探讨围手术期优质护理在低温等离子射频消融术治疗腺样体肥大患儿中的应用效果.方法 选取2016年9月至2017年3月我院收治的腺样体肥大患儿60例作为研究对象,将其等分为观察组和对照组.两组患儿均接受低温等离子射频消融术治疗与围手术期常规护理,观察组在此基础上联合围手术期优质护理.比较两组患儿手术时间、术中出血量、症状恢复效果、并发症发生情况.结果 观察组患儿症状恢复效果优于对照组(P<0.05),两组患儿手术时间、术中出血量经比较差异无统计学意义(P>0.05),两组患儿术后均无并发症发生.结论 应用低温等离子射频消融术治疗腺样体肥大患儿的优势明显,联合围手术期优质护理的症状恢复率高,是一种较为理想的方式,值得临床推广应用.

目的 探讨综合性护理干预对外耳道真菌病患儿实施耳内镜下清理效果.方法 选择2017年1月至2018年1月我院门诊外耳道真菌病患儿60例,对其进行耳内镜下清理,随机等分为观察组和对照组,对照组患儿实施常规护理,观察组患儿实施综合性护理干预,比较两组患儿症状消失时间及并发症发生率.结果 观察组患儿症状消失时间短于对照组(P<0.05),并发症发生率低于对照组(P<0.05).结论 外耳道真菌病患儿实施耳内镜下清理过程中实施综合性护理干预,能帮助患儿顺利进行检查和清理,提高患儿的治疗效果,促进患儿早日康复.

目的 探讨腹腔镜小儿疝囊高位结扎术围手术期护理中给予快速康复外科理念的价值.方法 选取我院2015年1月至2017年12月行腹腔镜疝囊高位结扎术患儿50例,随机平均分为两组.对照组行常规护理干预,实验组给予快速康复外科护理.比较两组患儿的护理效果.结果 实验组护理后的舒适度、 躁动程度、 家长对服务态度和技术的满意度、 住院时间、 并发症发生率均优于对照组(P<0.05).结论 快速康复外科护理在腹腔镜小儿疝囊高位结扎术围手术期中的应用效果确切.

目的 :探讨急性化脓性中耳炎患儿的护理.方法 :选取2017年1-12月本院收治的急性化脓性中耳炎患儿100例,按照随机数字表法分为研究组与对照组,每组50例.对照组进行常规化护理干预,研究组开展整体化护理.比较两组护理服务态度满意率、病房环境满意率、护理技巧满意率、人文关怀满意率、疾病知识知晓程度、治疗遵医行为、住院天数、护理纠纷发生率.结果 :研究组护理服务态度满意率、病房环境满意率、护理技巧满意率、人文关怀满意率均高于对照组(P<0.05).研究组疾病知识知晓程度、治疗遵医行为均优于对照组(P<0.05).研究组住院天数、护理纠纷发生率均低于对照组(P<0.05).结论 :整体化护理在急性化脓性中耳炎护理中的应用效果确切,可提高对急性化脓性中耳炎的认知,缩短住院时间,患儿护理服务态度满意率、病房环境满意率、护理技巧满意率、人文关怀满意率高.

目的:明确全程护理和人文关怀理念对于睡眠呼吸暂停低通气综合征患儿多导睡眠监测的效果.方法:随机选择于2017年01月-2017年12月期间来我院开展治疗的睡眠呼吸暂停低通气综合征患儿88例开展此次研究,运用随机数字表的分组方法,将88例患儿分为常规组和研究组,每组分得44例患儿.两组患儿均实施常规护理,为研究组患儿加用全程护理及人文关怀理念.对两组患儿监测成功率、监测失败原因进行对比和分析.结果:研究组患儿的监测成功率明显更高,P＜ 0.05.结论:在睡眠呼吸暂停低通气综合征患儿多导睡眠监测过程中应用全程护理和人文关怀理念具有显著的效果,应不断推广和运用.

Objective:To research the nursing safety management of 114 cases of infants undergoing surgery from Department of Pediatric Surgery.Methods: Retrospective analysis was conducted to 230 cases of infants undergoing surgery in our hospital from February 2015 to January 2016.They were divided into two groups, including group A composed of 116 patients receiving traditional nursing in February to July 2015, and group B composed of 114 patients subject to intervention of safety management scheme in the entire nursing process in August 2015 to January 2016.The two groups were observed for occurrence of hazardous events and nursing errors.Results: The patients from group B had a lower occurrence rate of hazardous events and nursing errors perioperative period than those from group A, and the difference was of statistical significance(P<0.05).Conclusion: The nursing safety management over the infants undergoing surgery in nursing process had a satisfactory effect, and it was worthy of clinical expansion.

Objective:To summarize the perioperatie high-quality nursing method of treatment of pediatric inguinal hernia under laparoscope.Methods:Selected 68 child patients receiving inguinal hernia under laparoscope in our hospital from March 2014 to March 2016 as the research objects, and they received high-quality nursing service in perioperative period, and the complications of child patients were observed after treatment.Results:All the child patients in this group had the laparoscopic surgery completed successfully, with a length of stay of (4.5±1.1)d, and after operation, there were no complications such as scrotum hematoma and incision affection.Conclusion:The high-quality nursing in perioperative period of treatment of pediatric inguinal hernia under laparoscope could effectively reduce the discomfort of operation to the child patients and their parents, shorten the length of stay of child patients and reduce the occurring of complications, with a significant clinical application effect.

Objective To evaluate the clinical value of laparoscopic techniques for giant incarcerated hernia in children.Methods The clinical data of 52 children with giant incarcerated hernia between February 2012 and February 2016 undergoing emergency modified laparoscopy was retrospectively analyzed.Operations were performed under general anesthesia with tracheal intubation.After laparoscopic assisted manual reduction,laparoscopic double purse-string plus suture with medical umbilical flap high-ligation of internal ring (modified) was performed.If reduction was unsuccessful,a small incision 1.5 cm in length was made in groin outer surface projection for releasing the lesion.Results Modified laparoscopy was successfully performed in al1 52 cases.And laparoscopic assisted reduction was completed in 36 cases with an operative duration of (35.4 ± 9.16) min and a mean postoperative hospitalization stay of (4.5 ± 1.5) days.Laparoscopic embedded Bolton loosening was performed in 16 cases with an operative duration of (54.9 ± 13.6) min and a mean postoperative hospitalization stay of(5.5 ± 1.7)days.There was no injury of seminiferous duct or spermatic vessel.No postoperative scrotal hematoma,incision infection or other complications occurred.The mean follow-up period was 14 (3-24) months.No testicular atrophy,iatrogenic cryptorchidism or incisional hernia was noted.Conclusions Modified laparoscopy is both safe and effective for giant incarcerated hernia.

目的:探讨围术期护理干预在气管插管全麻手术患儿中的应用方法及效果.方法:将150例气管插管全麻手术患儿按入院顺序分为对照组76例和观察组74例,对照组给予围术期常规护理,观察组在此基础上给予围术期护理干预,比较两组护理效果.结果:观察组恢复期躁动发生率、术后并发症发生率低于对照组(P<0.05),两组苏醒期血压及心率比较差异有统计学意义(P<0.05).结论:围术期护理干预可减少气管插管全麻手术患儿恢复期躁动,保持血压、心率稳定,降低术后并发症发生率,值得临床推广应用.

Objective: To analyze the infant intussusception reconstructive surgery complicated with septic shock nursing main points,comparison before and after the nursing baby the vital signs of change. Methods: From October 2010 to October 2013 admitted during the period of intussusception reconstructive surgery baby 24 cases complicated with septic shock,to perfect nursing for septic shock,compared the vital signs change baby before and after care. Results:Nursing before and after the baby' s heart rate,blood pressure,blood lactic acid concentration comparative differences were statistically significant( P 0. 05). Conclusion: Improve the nursing measures of intussusception reconstructive surgery can be complicated by septic shock babies have very good recovery effect,can let the baby to restore normal vital signs,avoid septic shock baby life threatening.

目的分析6 681例新生儿听力筛查结果。方法对2008年3月～2010年3月出生的无高危因素新生儿4 454例(正常儿组)、高危因素新生儿2 227例(高危儿组)在出生后3～5天用DPOAE进行听力初筛,对未通过者42天时利用DPOAE+AABR进行复筛,复筛仍未通过者3月龄时借助耳内镜+声导抗(1 000 Hz)+ABR+DPOAE+CT进行初步诊断,对ABR波Ⅴ反应阈值大于35 dB nHL者于6月龄利用耳内镜+声导抗(1 000 Hz)+ABR+DPOAE+ASSR+CT或MRI进行确诊。确诊为听功能异常者8月龄时进行医学干预。结果正常儿组初筛未通过133例,未通过率2.99%(133/4 454),高危儿组初筛未通过416例,未通过率18.68%(416/2 227);正常儿组复筛未通过6例,未通过率4.51%(6/133);高危儿组复筛未通过142例,未通过率34.13%(142/416)。高危儿组6月龄行听力学确诊异常者37例,占1.66%(37/2 227),其中,CT示内耳畸形3例,包括大前庭水管综合征1例,Mondini畸形1例,Michel畸形1例;听功能损伤家族史组、母孕期宫内感染组、颅面畸形组、低体重组、高胆红素血症组、母孕期应用耳毒性药物组、新生儿细菌性脑膜炎组、出生时的Apgar评分异常组、机械通气过长组、新生儿NICU≥48小时组、早产儿组听功能异常率分别为4.76%、10.08%、7.89%、1.23%、1.84%、2.00%、1.45%、1.12%、1.09%、0.75%、0.61%。无高危因素新生儿听力异常4例,占0.09%(4/4 454)。结论高危新生儿听功能异常率明显高于正常儿,有高危因素的新生儿应列为新生儿听力筛查的重点监控对象。

目的探讨多酶清洗液在腔镜器械清洗中的应用效果。方法将用于手术并接触血液的440把腔镜器械,随机抽样分为不应用多酶清洗液清洗组(A组)和应用多酶清洗液清洗组(B组),两组腔镜器械清洗后均做隐血试验,比较两种清洗方法对腔镜器械残留血的清洗效果。结果A组隐血试验阳性率明显高于B组(P<0.01)。结论多酶清洗液是一种理想的腔镜器械清洗液,能明显降低腔镜器械血迹的残留。