益贴凉在脾切除术后发热病人中的应用

APPLICATION OF YITIELIANG IN FEBRILE PATIENTS AFTER SPLENECTOMY

目的:探讨益贴凉在脾切除术后发热病人中的作用。方法:选择2005年-2007年脾切除术后发热病人(38.5℃-40℃)40例,随机分为研究组(20例)和对照组(20例),研究组病人采用益贴凉降温,对照组采用温水擦浴降温,两组其它治疗相同。分别于处理后0.5h、1.0h、1.5h、2.0h观察记录两组患者的体温。结果:处理后0.5h和1.0h,两组病人体温下降情况比较无明显差别(P>0.05);处理后1.5h和2.0h,研究组病人体温下降幅度明显大于对照组(P<0.05)。结论:脾切除术后发热病人,应用益贴凉降温优于温水擦浴降温。

Objective：To investigate the effects of yitieliang in febrile patients after splenectomy.Methods：40 febrile patients after splenectomy（38.5℃-40℃） were randomly divided into 2 groups（n=20）：investigated group and control group.The patients in investigated group were cooled by yitieliang,while the patients in control group were cooled by tepid sponge bath;and the other treatments of these 2 groups were the same.The temperature of patients was measured respectively 0.5h,1.0h,1.5h and 2h after treatment.Results：0.5h and 1.0h after treatment,temperature of patients in these 2 groups had no obvious difference（P0.05）.1.5h and 2.0h after treatment,the temperature of patients in investigated group decreased obviously compared with patients in control group（P 0.05）.Conclusions：For febrile patients after splenectomy,reducing temperature by yitieliang is better than tepid sponge bath.