{ "Key": "PediatricEpilepsyPrescription", "Name": "儿童癫痫患者健康教育处方", "Content": [ { "label": "姓名", "defaultValue": null, "span": 12, "key": "PatientName", "type": "input", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "性别", "defaultValue": null, "span": 24, "key": "PatientGender", "type": "radio", "border": null, "disabledValue": null, "options": [ { "label": "男", "value": "1" }, { "label": "女", "value": "2" } ], "children": null, "append": null, "placeholder": null, "required": null, "show-limit": null, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "年龄", "defaultValue": null, "span": 12, "key": "PatientAge", "type": "numberInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "诊断", "defaultValue": null, "span": 12, "key": "DiseaseName", "type": "input", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": " 癫痫是儿童神经系统常见的发作性疾病。癫痫发作是指脑神经元异常、过度同步化放电所造成的一过性临床表现。间隔24小时以上，出现至少2次无诱因的癫痫发作即可诊断为癫痫。\r\n 癫痫发作的临床表现多种多样，可表现为肢体抽搐、意识丧失.感觉异常、大小便失禁、情感及行为障碍等，但对同一个患者来说发作表现相对固定。癫痫可在任何年龄起病，表现为一种或多种发作形式，部分患者可伴智力或运动发育落后、注意力缺陷多动障碍、学习困难和精神障碍等。癫痫患者可出现自卑、注意力下降，成绩下降等心理、行为、认知、学业及社会问题，严重影响患者生活质量。\r\n 约70%的患者通过正规的抗癫痫药物治疗，发作可得到控制，约30%的患者为药物难治性癫痫。少数发作控制不佳的患者在病程中可出现癫痫持续状态(癫痫持续发作超过30分钟或反复发作中意识持续不恢复超过30分钟)。癫痫控制效果与癫痫的病因、抗癫痫药物的合理选择和应用等有关。\r\n 采取健康生活方式，积极治疗和控制癫痫发作，有助于身体康复，改善生活质量。", "defaultValue": null, "span": 12, "key": "Hint_Label", "type": "label", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "健康生活方式", "defaultValue": null, "span": 12, "key": "PatientInspectionItems", "type": "checkbox", "border": null, "disabledValue": null, "options": [ { "label": "家长需悉心照顾患者，注意观察和记录患者的癫痫发作情况和治疗情况。", "value": "1" }, { "label": "避免强烈的声光刺激。", "value": "2" }, { "label": "避免游泳、玩惊险刺激的游戏(如坐过山车)等，以免发生意外伤害。", "value": "3" }, { "label": "生活规律，保证充足的睡眠。", "value": "4" }, { "label": "避免受到烟草危害。", "value": "5" }, { "label": "饮食与同龄儿童相仿，没有特别的禁忌。", "value": "6" }, { "label": "家长要密切关注患者的情绪变化和心理状况，理解和关爱患者，帮助患者建立自信和战胜疾病的信心。如果患者出现烦躁不安、恐惧及抑郁等表现时，及时给予安抚和情感支持，必要时寻求专业人员帮助。", "value": "7" } ], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "治疗与康复", "defaultValue": null, "span": 12, "key": "History", "type": "checkbox", "border": null, "disabledValue": null, "options": [ { "label": "长期药物治疗。遵医嘱坚持长期规律药物治疗，不要自行停药或调整药物。", "value": "1" }, { "label": "监测和记录癫痫发作及治疗情况。准备记录本，及时记录癫痫发作的时间、形式、影响发作的因素，记录相应药物治疗的调整情况等。", "value": "2" }, { "label": "定期复查。在医生指导下定期复查抗癫痫药物血浓度及脑电图等，监测药物不良反应，调整药物剂量。", "value": "3" }, { "label": "注意药物不良反应。初次服药前应通读药物说明书，了解药物的不良反应。初次用药后应注意皮疹、发热、性格改变等症状，并根据服用药物定期监测血常规、肝肾功能等生化指标，在医生的指导下预防和尽早发现药物的不良反应。", "value": "4" }, { "label": "药物以外的治疗。如抗癫痫药物控制发作欠佳，必要时可在医生指导下进行生酮饮食（高脂肪、低碳水化合物和低蛋白质饮食）治疗或癫痫外科手术评估。", "value": "5" }, { "label": "将患者患癫痫情况及急症处理方式告知学校班主任，以便及时发现和处理。", "value": "6" } ], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "急症处理", "defaultValue": null, "span": 12, "key": "Conclusion", "type": "checkbox", "border": null, "disabledValue": "", "options": [ { "label": "如果癫痫发作持续时间超过5分钟或数小时内频繁出现癫痫发作，应拨打120呼叫救护车或及时到最近的医院就诊，尽快终止发作。", "value": "1" }, { "label": "就诊时携带记录患者日常发作情况及用药情况的记录本，有助于医生了解情况和选择抗癫痫药物。", "value": "2" }, { "label": "患者癫痫发作时，注意以下几点：\r\n（1）将患者的头偏向一侧，解开领口的扣子，保持呼吸道通畅。\r\n（2）记录发作的时间和表现，如果多人在旁边，可以录像记录发作情况。\r\n（3）不要将手指或其他物体塞入患者口中，防止误吸，多数患者发作可自行缓解。\r\n（4）避免强行按压患者身体，以免发生骨折。", "value": "3" } ], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "其他指导建议", "defaultValue": null, "span": 12, "key": "ReportDescription", "type": "textareaInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "医生/指导人员签名:", "defaultValue": null, "span": 12, "key": "DigitalSignature", "type": "signature", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "咨询电话:", "defaultValue": null, "span": 12, "key": "PatientPhoneNumber", "type": "numberInput", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "日期", "defaultValue": null, "span": 12, "key": "ReportTime", "type": "dateTime", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null }, { "label": "儿童癫痫患者健康教育处方使用说明 \r\n ★使用对象：癫痫儿童的父母或看护人。 \r\n ★使用方法 \r\n 1.本处方不能替代医务人员开具的医疗处方，主要用于患儿健康生活方式指导。 \r\n 2.医务人员应结合患者的病情、健康危险因素等，提供有针对性的健康指导。", "defaultValue": null, "span": 12, "key": "DescriptionLabel", "type": "label", "border": null, "disabledValue": null, "options": [], "children": null, "append": "", "placeholder": "", "required": null, "show-limit": false, "parentKey": null, "buttonName": null, "childrenKey": null } ] }