摘要
目的探讨集束化保温干预对急诊创伤患者自发性低体温及凝血功能的影响。方法选择2017年1月至2018年12月常州市第二人民医院收治的急诊创伤患者118例为研究对象,将2017年1—12月收治的62例患者设为对照组,将2018年1—12月收治的56例患者设为观察组。对照组采用常规急救护理干预及保温措施,观察组联合应用集束化保温干预。比较2组体温变化、凝血功能、自发性低体温及预后情况。结果观察组入急诊科时、入急诊科60 min体温分别为(36.41±0.75)、(36.74±0.65)℃,对照组分别为(35.42±0.80)、(35.54±0.76)℃,2组比较差异有统计学意义(t值为6.914、9.168,P<0.01);观察组入急诊科60 min活化部分凝血活酶时间、凝血酶原时间、凝血酶时间分别为(35.24±2.25)、(13.56±1.02)、(17.45±1.52)s,对照组分别为(39.45±3.42)、(15.12±1.34)、(19.20±1.23)s,2组比较差异有统计学意义(t值为7.802、7.058、6093,P<0.01);观察组自发性低体温发生率、低体温持续时间分别为16.07%(9/56)、(7.32±1.14)h,对照组分别为41.94%(26/62)、(18.42±3.20)h,2组比较差异有统计学意义(χ2值为9.432,t值为24.579,P<0.01);观察组寒战、感染、病死率分别为16.07%(9/56)、7.14%(4/56)、5.36%(3/56),对照组分别为51.61%(32/62)、24.19%(15/62)、17.74%(11/62),2组比较差异有统计学意义(χ2值为16.393、6.322、4.316,P<0.05或0.01)。结论集束化保温干预有助于预防急诊创伤患者自发性低体温发生风险,拮抗凝血功能障碍,改善患者预后。
Objective To investigate the effects of clustered warming intervention on spontaneous hypothermia and coagulation function in patients with emergency trauma.Methods A total of 118 cases of emergency trauma patients admitted from January 2017 to December 2018 in Changzhou Second People′s Hospital were selected as subjects.According to the time of admission,there were 62 cases in the control group from January 2017 to December 2017 and 56 cases in the treatment group from January 2018 to December 2018.The control group used routine emergency nursing intervention and warming measures,and the treatment group combined with clustered warming intervention.The changes of body temperature,coagulation function,spontaneous hypothermia and prognosis were compared between the two groups.Results When entering the Emergency Department and entering the Emergency Department for 60 minutes,the body temperature of the emergency trauma patients in the treatment group were(36.41±0.75)and(36.74±0.65)℃,and the control group were(35.42±0.80)and(35.54±0.76)℃.The difference between the two groups was statistically significant(t value was 6.914,9.168,P<0.01).After entering the Emergency Department for 60 minutes,the activated partial thromboplastin time,prothrombin time,and thrombin time in the treatment group were(35.24±2.25),(13.56±1.02),(17.45±1.52)s,and the control group was(39.45±3.42),(15.12±1.34),(19.20±1.23)s.The difference between the two groups was statistically significant(t value was 7.802,7.058,6093,P<0.01).The incidence of spontaneous hypothermia and duration of hypothermia in the treatment group were 16.07%(9/56),(7.32±1.14)h,and that in the control group was 41.94%(26/62)and(18.42±3.20)h.The difference between the two groups was statistically significant(χ2 value was 9.432,t value was 24.579,P<0.01).The incidence of chills,infection and death in the observation group was 16.07%(9/56),7.14%(4/56),and 5.36%(3/56),and that in the control group was 51.61%(32/62),24.19%(15/62),and 17.74%(11/62).The difference between the two groups was statistically significant(χ2 value was 16.393,6.322,4.316,P<0.05 or 0.01).Conclusions Clustered warming intervention can help prevent the risk of spontaneous hypothermia in emergency trauma patients,antagonize coagulation dysfunction and improve patient prognosis.
作者
张丽燕
符爱兰
韩惠芳
薛雯
Zhang Liyan;Fu Ailan;Han Huifang;Xue Wen(Department of Emergency,Changzhou Second People′s Hospital,Changzhou 213100,China;Department of Emergency,Yanghu Branch,Changzhou Second People′s Hospital,Changzhou 213100,China)
出处
《中国实用护理杂志》
2020年第4期293-297,共5页
Chinese Journal of Practical Nursing
关键词
急诊创伤
集束化保温干预
自发性低体温
凝血功能
预后
Emergency trauma
Clustered warming intervention
Spontaneous hypothermia
Coagulation
Prognosis
