Key result
Among 756 children with HFMD of damp-heat accumulation toxin syndrome, 96.17% had mouth eruptions, 86.92% hand eruptions, and 78.86% had fever, with significant age differences in fever (P<0.05).
Why the study?
The study was conducted to understand the clinical symptoms of children with hand, foot, and mouth disease of damp-heat accumulation toxin syndrome and provide dialectical nursing measures.
Observational (n=756)
This study describes the clinical presentation of HFMD with damp-heat accumulation toxin syndrome, highlighting the high prevalence of oral/limb eruptions and fever, particularly in boys under 5 years old.
Objective To understand the clinical symptoms of children with hand, foot and mouth disease (HFMD) of damp-heat accumulation toxin syndrome and provide dialectical nursing measures. Methods Through retrospective investigation and study, descriptive statistical analysis was made on the sociological and clinical data of children with HFMD of damp-heat accumulation toxin syndrome in the outpatient clinics from 2013 to 2017. Results A total of 756 children with HFMD of damp-heat accumulation toxin syndrome were included; 94.32% were under 5 years old; 51.25% were 1-3 years old; and most of them were boys (60.63%). The incidence was high from May to July and in September. There were rashes all over the body; 729 cases (96.17%) had eruptions in the mouth; 711 cases (93.92%) had ulcers; 658 cases (86.92%) had eruptions on the hands; 592 cases (78.20%) had herpes; 649 cases (85.73%) had eruptions on the feet; 600 cases (79.26%) had eruptions on the buttocks; 506 cases (66.84%) had erflies; 400 cases (52.84%) had papules on other parts, such as trunk, inguinal, penis, etc. 73.58% of the children visited the doctor at 1-3 days of eruption. 597 cases (78.86%) had fever, which lasted for 1-3 days (51.92%), and most of the fever peaks were between 38.1℃-39.0 ℃ (29.33%). 717 cases (94.72%) had throat congestion, and a few children had cough, sore throat, shaking, shock, runny nose, and vomiting. Seven children (0.92%) had a clear history of infection. There were statistical differences in fever, fever time, fever peak, sore throat, and salivation between the children of different ages (all P<0.05). There were statistical differences in fever time between different genders (P<0.05). Conclusion HFMD of damp-heat accumulation toxin syndrome mostly occurs in late spring, early summer, and early autumn. It is more common in boys and those under 5 years old. The incidence of hand, foot, mouth, and buttock rashes and fever are the main types of HFMD. We should pay more attention to children under 3 years old who are within 3 days of disease course and have shock, tremor, vomiting, and other serious high-risk factors. Reducing discomfort caused by rash, lowering body temperature, and infection control and prevention are the important contents of dialectical nursing for children with HFMD of damp-heat accumulation toxin syndrome.
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Yan et al. (2019) conducted an observational in Hand, foot, and mouth disease (HFMD) of damp-heat accumulation toxin syndrome (n=756). Hand, foot, and mouth disease of damp-heat accumulation toxin syndrome was evaluated on Clinical symptoms (rashes, fever, throat congestion). Among 756 children with HFMD of damp-heat accumulation toxin syndrome, 96.17% had mouth eruptions, 86.92% hand eruptions, and 78.86% had fever, with significant age differences in fever (P<0.05).
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