摘要
目的:本研究旨在探讨对进口充气升温毯进行改良并应用于心脑肺复苏等患者低温静脉输液亚低温治疗中,观察其改善患者降温期末梢循环障碍的效果及对复温期核心体温变化的影响,为临床护理提供依据和有效手段。方法:2016年2月-2017年1月入住我院重症医学科,符合入选标准和排除标准的患者90例。采用随机数字表分为三组,每组30例,A组采用神灯手足部照射保暖;B组采用全身型进口充气升温毯覆盖手腕以下部位升温保暖;C组采用改良手足充气升温毯手足局部升温保暖。三组患者入住层流监护室,室内温度均控制在22~24℃。统计三组亚低温达标时间、手足体表温度达标率和达标时间,48h、72h后下肢深静脉血栓发生率以及三组复温期复温速率及其并发症的发生率。结果:三组患者复温期间核心体温均随时间延长而升高,且相同复温时间C组核心体温最高、A组最低,三组间差异有统计学意义。复温率C组高于B组高于A组,差异有统计学意义(P<0.05)。C组手足体温达标率为93.3%明显高于B(83.3%)组和A组(56.7%),差异具有统计学意义(P<0.05)。三组之间达标时间差异无统计学意义(P>0.05)。C组并发症发生率为3.34%,明显低于A组(33%.4)和B组(16.7%),差异具有统计学意义(P<0.05)。结论:经改良的手足充气升温毯具有使用安全、方便、费用低廉的优点,在不影响降温达标时间的同时,有效改善低温静脉输液亚低温疗法患者的末梢循环障碍问题。复温期平稳升温,减少并发症发生率。
Objective:To investigate the effect of improved hand and foot inflating warming blanket on the peripheral circulation disturbance and the change of core temperature during rewarming period and to provide the basis for clinical care and effective means.Methods:90cases who met the inclusion criteria and exclusion criteria and treated in ICU of our hospital from February,2016to January2017were selected and randomly divided into three groups,30cases in each group.Group A was irradiated with warm hands and feet,and Group B adopted the whole body imported air warming blanket covering the lower part of the wrist to keep warm.Group C used improved hand and foot inflating warming blanket to keep warm.Three groups were admitted to the laminar care unit;the indoor temperature was controlled in22~24℃.Statistics in the three groups of mild hypothermia standard time,temperature and surface compliance rate and the compliance time,lower extremity deep venous thrombosis incidence after48h,72h and temperature rewarming rate and its complications were collected.Results:During the rewarming period,the core temperature in three groups was increased with time,and the core temperature in Group C was the highest in the same rewarming time;the lowest was in the Group A;and the difference among the three groups was statistically significant.The thawing rate in Group C was higher than Group A and Group B(P<0.05).Hand,foot and body temperature success rate in Group C was93.3%,was significantly higher than83.3%in Group B and56.7%in Group A(P<0.05).The difference of standard time among three groups was no statistical significance(P>0.05).The complication rate in Group C was3.34%,was significantly lower than3.34%in Group A and16.7%in Group B(P<0.05).Conclusion:The improved hand and foot inflating warming blanket was safe,convenient,inexpensive and effective;it could maintain body temperature and effectively improve the peripheral circulation disturbance in hypothermic intravenous infusion therapy for mild hypothermia patients,in addition to reduce complications.
出处
《中医临床研究》
2017年第21期130-132,共3页
Clinical Journal Of Chinese Medicine
关键词
亚低温疗法
改良手足充气升温毯
Hypothermia therapy
Improved hand and foot inflating warming blanket
