物理降温对脓毒症患者压疮发生的影响及对策

Effect of physical cooling on pressure ulcers in patients with sepsis and countermeasures

目的探讨物理降温对脓毒症患者压疮发生的影响及对策。方法选择2017年3月-2019年3月我院收治的脓毒症患者68例,按随机数字表法分为2组各34例。对照组采取常规物理降温,观察组使用T1亚低温治疗仪降温毯降温,比较2组压疮发生率和受压骶尾部表皮温度。结果观察组压疮发生率为2.94%,低于对照组的23.53%,差异有统计学意义(P<0.05);观察组控温期、复温期以及自然期骶尾部皮温均低于对照组,差异有统计学意义(P<0.05)。结论脓毒症重症患者进行物理降温期间,采用降温毯降温并采取平卧、侧卧交替方式能够减少压疮发生,值得推广。

Objective To investigate the effect of physical cooling on the occurrence of pressure sores in patients with sepsis and the countermeasures. Methods A total of 68 patients with sepsis admitted to our hospital from March 2017 to March 2019 were enrolled in the study. The patients were divided into two groups according to the random number table, 34 cases each. The control group underwent routine physical cooling, and the observation group used the T1 hypothermia therapeutic device to cool down the blanket, and compared the incidence of pressure ulcers in the two groups and the epidermis temperature of the compressed tail. Results The incidence of pressure sore in the observation group was 2.94%, which was lower than that in the control group(23.53%). The difference was statistically significant(P<0.05). The temperature in the control group was lower than that in the control group during the temperature control period, the rewarming period and the natural period. The difference was statistically significant(P<0.05).Conclusion During the physical cooling of patients with febrile sepsis, cooling blankets and adopting supine and lateral lying alternately can reduce the occurrence of pressure sores in patients with sepsis, which is worthy of promotion.