战时多功能可调式降温仪在重症脑卒中高热病人中的临床观察

The clinical observation of the wartime ultifunction and may to adjust cooling meter in the grave cerebral apoplexy of hyperpyrexia patient

目的:研制战时多功能可调式降温仪在于战时颅脑外伤手术后高热患者的降温治疗,提高伤员的预后效果,增强战斗力。方法:分两组观察,A组使用战时多功能可调式降温仪,B组常规使用头颅冰帽降温,用玻璃棒棒式体温计,在降温30min,60min,90 min行腋下测温;建立疾病预后评估标准,分治愈,好转、死亡三项具体指标评估两组降温与疾病疗效。结果:在不同降温时段中,A组降温幅度均较B组显著,P<0.01,且降温幅度最大时段在降温后60min。从两组降温与疾病预后的比较中,A组的治愈率和死亡率分别以84.38%和3.13%,高于或低于B组的45.8%和20.83%,两组差异显著,P<0.01。结论:使用战时多功能可调式降温仪降温疗效好、便捷、经济、更适用于战时颅脑损伤手术后和平时自然灾害颅脑损伤及脑卒中、中毒、中暑的高热患者的急救,有较好的提高疾病预后的作用。

Objective： The study of the wartime multifunctional adjustable reducing-temperature device is used to lower the temperature of the hyperpyrexia patients after operation, to raise prognosis of the wounded soldiers, and to enhance the battle power. Method： We divided two groups to survey： group A used the wartime multifunctional adjustable reducing-temperature device; group B used the skull ice cap to reduce the temperature on routine, to measure oxter temperature with the glass rod meter clinical thermometer after 30 min, 60 min, 90 min of reducing the temperature; to establish the evaluation standard, divided as healing well, improvement, and death to evaluate the disease therapeutic effect of reducing the temperature between the two groups. Consequences： The reducing temperature amplitude of group A was better than group B in the different reducing-temperature stage, P〈0.01, and the most reducing temperature amplitude emerged affe 60 rain of reducing the temperature. To follow the comparison of disease therapeutic effect of reducing the temperature between the two groups, the healing rate and death rate of group A were 84.38%, 3.13%, and above or lower than group B of 45.8%, 20.83%, the difference between the two groups was evident, P〈0.01. Conclusions： The usage of the wartime multifunctional adjustable reducing-temperature device was effective, convenient, economic, and more suitable to use after operation of craniocerebral injury during the wartime and acute cerebral accidents, intoxation, heatstroke of the first aid of hyperpyrexia patients in normal time. It contributes to improve the disease prognosis.