儿童喜欢活动和探索 ,但运动功能发育不全 ,对危险的辨别能力及自我保护能力较弱 ,是骨折的高危群体 ,每年有 2.50％ ～ 6.25％ 的儿童发生骨折 ,其中四肢骨折常见[1-2] .在对患儿患肢进行护理、观察、换药等操作时 ,均需穿脱传统手术服.四肢骨折患儿因疼痛 ,肢体肿胀 ,石膏、支具等外固定器具的使用 ,外加年龄小、理解力不足、忍痛能力差等原因[3] ,导致穿脱传统手术服存在困难.为减轻患儿疼痛 ,保护患儿隐私 ,同时方便医护人员的观察、护理及操作,本研究自行设计并制作了儿童四肢骨折手术专用服 ,已获得国家实用新型专利(专利号ZL 202220825871 .7) ,在临床应用中取得满意的效果 ,现报告如下.

To summarize the rehabilitation nursing experience of a child with catecholamine sensitive polymorphic ventricular tachycardia（CPVT） who suffered from secondary brain injury after successful cardiopulmonary resuscitation.CPVT is easy to be induced by exercise or emotional excitement. Attention was paid to pacify children and create a quiet ward environment. Progressive exercise and cognitive language rehabilitation was carried out under continuous ECG monitoring,and individualized nutrition management was performed to improve the quality of life of the child. After 45 days of rehabilitation nursing,the children’s consciousness,language cognition and motor function were significantly improved. During the hospitalization,there was no recurrence of CPVT. He was stable and discharged.

目的:探讨基于317护平台的临床儿科护士培训的应用效果.方法:选取2019年本院80名临床儿科护士为试验组,培训中应用317护平台的互联网教育模式;2018年80名为对照组,采用原有的集体培训模式进行培训课程的学习.比较两组护士的考核成绩以评价学习效果,同时采用问卷对试验组护士进行调查,评价对学习方式的满意度.结果:试验组护士理论考核成绩高于对照组,差异有统计学意义(P＜0.01);试验组护士认为基于317护平台的互联网教育能提高学习效率、增强学习自主性、满足学习需求、资源方便获取、考试形式高效快捷.结论:在临床儿科护士分层培训中应用互联网教育方式可以提高培训效率,增强培训效果.

Objective:To design and manufacture the female infant diaper, and to explore the application effect of the diaper in routine urine collection of female infants.Methods:Female infants hospitalized in department of Orthopedic Rehabilitation of Children′s Hospital of Zhejiang University School of Medicine from July 2020 to June 2021 were selected as the research objects. According to the chronological order, 148 female infants admitted from July to December 2020 were selected as the control group, and 154 female infants admitted from January 2021 to June 2021 were selected as the experimental group. In the experimental group, urine routine was collected by female infants diapers, while in the control group, urine routine was collected by traditional disposable urine collection bag. The time required for routine urine collection, the number of urine collection bags, the incidence of perineal skin injury and the satisfaction of parents were observed.Results:The time required for routine urine collection was (16.86 ± 12.58) h in the experimental group and (28.76 ± 22.20) h in the control group. The difference between the two groups was statistically significant ( t=5.70, P<0.05). The number of female infant diapers in experimental group was (1.69 ± 0.67); The number of disposable urine collection bags used in the control group was (2.76 ± 1.32), and the difference between the two groups was statistically significant ( t=8.81, P<0.05). In the experimental group, the incidence of perineal skin injury was 0. In the control group, the incidence of perineal skin injury was 24.8%(42/148). The difference between the two groups was statistically significant ( Z=-9.78, P<0.01). The satisfaction of parents in the experimental group was 98.7% (152/154), witch higher than that in the control group was 79.7% (118/148), and the difference was statistically significant ( Z=-9.68, P<0.01). Conclusions:Compared with the traditional disposable urine collection bag, the diaper collection for female infants can shorten the time required for routine urine collection, reduce the number of urine collection tools, reduce the incidence of perineal lesions in children, improve the satisfaction of parents of children, reflect the people-oriented nursing concept, and provide greater clinical convenience.

总结1例先天性无痛无汗症合并椎体骨折患儿的术后护理经验.结合患儿病情及特异性进行综合评估,护理要加强体温的监测与管理、预防皮肤损伤、正确摆放体位、早期识别出血的先兆、观察脊髓神经损伤和胃肠道功能情况及合理处理切口感染.经过2个月的精心护理,患儿病情稳定出院.

目的 探讨"创新护理措施"在儿童视频脑电图监测中的应用效果.方法 选取该院2020年4—10月行视频脑电图监测患儿305例,随机分为观察组157例与对照组147例.观察组分析儿童视频脑电图监测中产生伪差的因素,给予针对性心理护理、改善病房环境、加固盘状电极、使用自制护耳套及下巴垫、使用自制理线器5项创新护理措施.对照组实施常规儿童视频脑电图监测方法.比较两组儿童视频脑电图伪差干扰因素评分,伪差对异常脑电波的干扰情况.结果 观察组患儿的皮肤过敏、瘙痒,电极脱落次数评分低于对照组,异常脑电图发生率(69.4％)低于对照组的76.9％,但差异均无统计学意义(P>0.05).观察组耳朵、下巴皮肤疼痛,电极线压线次数评分低于对照组,伪差出现干扰率(51.4％,56/109)低于对照组(77.0％,87/113),差异均有统计学意义(P<0.05).结论 创新护理措施的应用可减少视频脑电图伪差干扰因素,降低伪差对异常脑电波干扰的发生率.