张玮, 冯泽阳, 黄敬垣, 杨成梁, 吴洁. 川崎病患儿护理治疗前后Tei指数的变化[J]. 上海预防医学, 2017, 29(9): 727-730. DOI: 10.19428/j.cnki.sjpm.2017.09.015
引用本文: 张玮, 冯泽阳, 黄敬垣, 杨成梁, 吴洁. 川崎病患儿护理治疗前后Tei指数的变化[J]. 上海预防医学, 2017, 29(9): 727-730. DOI: 10.19428/j.cnki.sjpm.2017.09.015
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Wei ZHANG, Ze-yang FENG, Jing-yuan HUANG, Cheng-liang YANG, Jie WU. Tei index changes in children with Kawasaki disease before and after nursing treatment[J]. Shanghai Journal of Preventive Medicine, 2017, 29(9): 727-730. DOI: 10.19428/j.cnki.sjpm.2017.09.015
Citation: Wei ZHANG, Ze-yang FENG, Jing-yuan HUANG, Cheng-liang YANG, Jie WU. Tei index changes in children with Kawasaki disease before and after nursing treatment[J]. Shanghai Journal of Preventive Medicine, 2017, 29(9): 727-730. DOI: 10.19428/j.cnki.sjpm.2017.09.015
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川崎病患儿护理治疗前后Tei指数的变化

Tei index changes in children with Kawasaki disease before and after nursing treatment

    摘要
  • 摘要:
    目的观察川崎病患儿接受大剂量丙种球蛋白治疗以及护理干预前后的心功能状态，并运用Tei指数评价其治疗护理效果。
    方法选择90例川崎病确诊患儿，所有患儿均接受大剂量丙种球蛋白治疗，并根据是否给予精心护理干预分为无精心护理干预组(A组，45例)和精心护理干预组(B组，45例)，另选择45例健康儿童作为对照组，运用Tei指数观察患儿经治疗护理前后的心功能变化。
    结果3组间治疗前的左室射血分数(LVEF)、E/A值比较，差异均无统计学意义(P ＞0.05)；A组、B组患儿治疗前的LV-Tei、RV-Tei均较对照组延长，差异有统计学意义(P ＜0.05)；A组、B组患儿治疗后的LVEF、E/A值与治疗前比较，差异均无统计学意义(P ＞0.05)；A组、B组患儿治疗后的LV-Tei、RV-Tei均较治疗前缩短，差异有统计学意义(P ＜0.05)；治疗后B组患儿的LV-Tei、RV-Tei均较A组缩短，差异有统计学意义(P ＜0.05)。
    结论使用大剂量丙种球蛋白治疗川崎病患儿并给予精心护理干预，能有效改善患儿的心功能状态，而应用Tei指数能敏感地监测患儿的心功能变化。

     

    Abstract:
    ObjectiveTo observe the heart function of children with kawasaki disease (KD) before and after large-dose gamma globulin treatment and nursing intervention, and to evaluate the therapeutic nursing effect by using Tei index.
    MethodsA total of 90 cases were diagnosed as KD, and all cases were treated with large doses of gamma globulin. According to whether to be given careful nursing intervention, they were divided into no careful nursing intervention group (group A, 45 cases) and careful nursing intervention group (group B, 45 cases). And another 45 cases of healthy children were as control group, with the change of heart function in KD observed before and after nursing treatment by using Tei index.
    ResultsIn comparison of LVEF, E/A value between the 3 groups before treatment, the differences were not statistically significant (P >0.05); LV-Tei and RV-Tei in group A, B before treatment were longer than those in the control group (P < 0.05); In comparison of LVEF, E/A value in group A, B before and after treatment, the differences were not statistically significant (P >0.05); LV-Tei and RV-Tei in group A, B after treatment were shorter than those before treatment(P < 0.05); LV-Tei and RV-Tei after treatment in group B were shorter than those in group A, and the difference was statistically significant (P < 0.05).
    ConclusionLarge doses of gamma globulin treatment and careful nursing intervention in children with KD, can effectively improve the heart function of children with KD, and Tei index is sensitive to monitoring the changes of cardiac function in children with KD.

     

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