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基于弥散加权 MRI 的激励护理干预对重症病毒性脑炎合并心肌炎患儿康复效果的分析。

Analysis of the Effect of Incentive Nursing Intervention in Children with Severe Viral Encephalitis and Myocarditis during Rehabilitation Based on Diffusion Weighted MRI.

机构信息

Weinan Vocational and Technical College, Weinan, China.

Department of Educational Administration, Brain Hospital of Hunan, ChangSha 410007, China.

出版信息

J Healthc Eng. 2021 May 13;2021:9993264. doi: 10.1155/2021/9993264. eCollection 2021.

Abstract

BACKGROUND

Severe viral encephalitis in children causes a viral infection that damages their central nervous system. This situation arises the mental abnormalities, sudden rise in body temperature, disturbance of consciousness, and so forth in children, which can be life-threatening.

OBJECTIVE

This work aimed at exploring the effect of diffusion weighted MRI on children with severe viral encephalitis and myocarditis.

METHODS

This work presents a diffusion weighted MRI scanning method that involves scanning through a serial imaging device, axial scanning, and sagittal and coronal scanning. 60 children with severe viral encephalitis and myocarditis who admitted to Brain Hospital of Hunan Province from April 2017 to May 2020 were deemed as research subjects. All the children underwent CT and MRI examination, blood routine examination, and cerebrospinal fluid examination after admission. This work uses the random number table method to classify the subjects into control group and observation group, each consisting of 30 cases. Children in the control group were provided with the routine nursing intervention, whereas children in the observation group were subjected to incentive nursing intervention. The baseline data, ECG monitoring indicators, body abnormalities, and clinical symptom relief time of the two groups of children were compared and the results of diffusion weighted MRI scans were analyzed and the ADC values were counted.

RESULTS

The two groups of children were compared on the basis of baseline data, and the variation was not statistically substantial ( > 0.05). The cases of children in the control group had higher heart rate and respiration, and physical dysfunction, language dysfunction, unconsciousness, and nervous dysfunction were more than those in the observation group. However, the cases of blood oxygen saturation were less than those of the observation group. After nursing intervention done for the control group, remission time of clinical symptoms such as convulsion, physical dysfunction, unconsciousness, and nerve dysfunction was longer relative to the observation group (all < 0.05 are considered).

CONCLUSION

The diffusion weighted MRI had diagnostic significance for severe viral encephalitis and myocarditis. For children with severe viral encephalitis and myocarditis, clinical incentive nursing intervention was particularly imperative. It can not only help children to relieve symptoms and control the deterioration of the disease in a short time but also help improve the quality of life of the children and the confidence of family members to cope with the disease.

摘要

背景

儿童重症病毒性脑炎是由病毒感染引起的中枢神经系统损害,可导致患儿出现精神异常、体温骤升、意识障碍等,严重者可危及生命。

目的

探讨扩散加权 MRI 对儿童重症病毒性脑炎合并心肌炎的诊断价值。

方法

采用串行成像装置进行扩散加权 MRI 扫描,行轴位、矢状位和冠状位扫描。选取湖南省脑科医院 2017 年 4 月至 2020 年 5 月收治的 60 例重症病毒性脑炎合并心肌炎患儿作为研究对象,所有患儿入院后均行 CT 和 MRI 检查、血常规检查、脑脊液检查。采用随机数字表法将患儿分为对照组和观察组,每组 30 例。对照组患儿给予常规护理干预,观察组患儿给予激励性护理干预。比较两组患儿的一般资料、心电图监测指标、躯体异常情况及临床症状缓解时间,并对两组患儿的扩散加权 MRI 扫描结果进行分析,计算 ADC 值。

结果

两组患儿一般资料比较,差异无统计学意义(>0.05)。对照组患儿心率、呼吸较快,且躯体功能障碍、语言功能障碍、意识障碍、神经功能障碍发生率高于观察组,血氧饱和度低于观察组;对照组患儿临床症状(抽搐、躯体功能障碍、意识障碍、神经功能障碍)缓解时间长于观察组(均<0.05)。

结论

扩散加权 MRI 对儿童重症病毒性脑炎合并心肌炎有一定的诊断价值。对儿童重症病毒性脑炎合并心肌炎患儿给予临床激励性护理干预尤为重要,不仅能帮助患儿在短时间内缓解症状,控制病情恶化,还能提高患儿的生活质量,增强家属应对疾病的信心。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1f8/8140845/8f1ccf0fb89f/JHE2021-9993264.003.jpg

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