肛指温差值与高热病儿降温效果关系的研究

Research on relationship between analfinger temperature difference and effects of cooling treatment on children with high fever

目的研究肛指温差值与高热病儿降温效果的关系。方法将120例高热病儿随机分两组,一组采用药物降温,另一组采用药物加物理降温。降温前测量肛指温差值,观察降温措施后30 min、60 min、120 min、180min体温下降情况及伴随症状。结果两组高热病儿肛指温差值<6℃的体温下降较肛指温差值>6℃明显(P<0.05);肛指温差值<6℃的高热病儿在降温后30 min6、0 min两个时间段,药物联合物理降温组体温下降优于单用药物降温组(P<0.05);肛指温差值>6℃的高热病儿在药物联合物理降温后30 min、60 min两个时间段,体温下降不如单用药物降温组(P<0.05),且伴随症状在30 min后有增加。结论肛指温差值是判断高热病儿降温效果及能否进行物理降温的一个好指标。

Objective To exploring the relation between anal-finger temperature difference （AFTD） and effects of cooling treatment for children with high fever, Method 120 children with higher fever were randomly divided into two groups, One group was treated medicine only, The other group was treated with medicine and physical approach, The decreases in temperature and the concomitant symptoms were recorded after treatment at 30,60,120, 180 minute respectively, Results In both groups, the temperature decrease in all children with AFTD less than 6 ℃ is significant higher than that of AFTD over 6 ℃ （P〈0.05）, for children with AFTD less than6 ℃ , the temperature decrease in medicine group was much less than the decrease in the supplementary group at 30, 60 minutes, For children with AFTD over 6 ℃ , the temperature decrease in medicine group was much less than the decrease in the supplementary group at 30, 60 minutes Conclusion AFTD is a good index in evaluating the effect of cooling treatment and how to perform physical cooling for children with high fever.