56例急性化脓性扁桃体炎患者的临床特点及综合护理效果分析.docVIP

精品论文 参考文献 56例急性化脓性扁桃体炎患者的临床特点及综合护理效果分析 宋秋灵 [摘 要]目的：探讨急性化脓性扁桃体炎患者的临床特点及综合护理效果。方法：选取56例急性化脓性扁桃体患儿为研究对象，对患儿病例资料进行回顾性分析，分析患儿的临床主要表现，并以咽拭子采集患儿扁桃体表面分泌物，实施细菌培养，对分离菌属进行分析。将56例患儿随机分成观察组和对照组两组，对照组采取常规护理，观察组采取综合护理，对比两组护理效果。结果：患儿临床表现主要为咽痛、发热、咳嗽、单侧或双侧扁桃体上有脓性分泌物，56例患儿有31例患儿细菌感染引发急性化脓性扁桃体炎，感染率为55.36%，其中以金黄色葡萄球菌、肺炎链球菌的单一感染率最高。单一菌株感染率显著高于多种菌株感染的患儿（P＜0.05）。经护理干预后，观察组治疗总有效率显著高于对照组（P＜0.05），扁桃体脓点平均消退时间、平均退热时间显著短于对照组（P＜0.05）。两组患儿的白细胞平均计数较治疗前有显著下降（P＜0.05），观察组患儿白细胞平均计数低于对照组（P＜0.05）。结论：结合急性化脓性扁桃体炎患儿的临床特点，制定有针对性的综合护理方案，可促进临床治疗疗效，改善患儿症状，可推广应用。 [关键词]急性化脓性扁桃体炎 临床特点 综合护理 DOI:10.3760/cma.j.issn.1672-7088.2016.18.23 作者单位：274000，山东省菏泽市，山东省菏泽市立医院 作者简介：宋秋灵，女，山东省菏泽人，本科，山东省菏泽市立医院护理专业，主要研究耳鼻喉科相关领域。 通讯作者：宋秋灵，2476358410@。 Clinical Characteristics and Comprehensive Care effect of Patients with Acute Suppurative Tonsillitis: Analysis of 56 cases Song Qiuling Abstract：Objective: To investigate the clinical characteristics and comprehensive care effect of patients with acute suppurative tonsillitis.Methods: 56 cases of children with acute suppurative tonsillitis were collected as the subject investigated,the clinical data of the children were retrospectively analyzed,the main clinical manifestations of the children were analyzed,the tonsil surface discharge of the children was collected by swabs and received bacterial culture,the lsolated bacteria was analyzed. 56 cases of children were randomly divided into observation group and control group, the control group received routine care,the observation group received comprehensive care,the nursing effect of the two groups were compared.Results:The main clinical manifestations of the children including sore throat, fever, cough,p urulent secretions unilateral or bilateral tonsil,there were 31 cases of children with acute suppurative tonsillitis witch caused by bacterial infections in the 56 cases of children,the infection rate was 55.36 %,the bacterial with the highest single infection rate was staphylococcus aureus and streptococcus pneumoniae.The single