上呼吸道感染高热患儿不同物理降温方法的疗效观察

Observation on Different Physical Cooling Methods for Children Patients with Acute Upper Respiratory Infection

目的探讨上呼吸道感染高热患儿快速有效物理降温方法。方法将325例体温≥39℃的上呼吸道感染患儿随机分为3组。温水擦浴组(105例)采用32～35℃温水全身擦浴;常温酒精擦浴组(108例)采用32～35℃的酒精按酒精擦浴常规拍拭;温热酒精擦浴组(112例)采用温度为41～43℃的酒精按酒精擦浴常规擦拭。比较擦浴后30 min、60 min、90 min降温的效果。结果温热酒精擦浴组降温有效率最高,降温后60 min测得的体温的降幅最大,差异均有统计学意义(P<0.01)。结论 3组物理降温方法均有效果,其中温热酒精擦浴组有效率最高;降温后60 min测得的体温更能真实反映降温效果。

Objective To explore a rapid and effective physical method to control fever in children patients with acute upper respiratory infection.Methods 325 children patients with temperature greater than or equal to 39℃ were randomly divided into three groups.Children in warm water sponging group（n=105） were sponged the whole body with 32~35℃ warm water;those in alcohol group（n=108） were sponged with 32~35℃ alcohol;and those in warm alcohol group（n=112） were sponged with 41~43℃ alcohol.The efficacy was evaluated 30,60 and 90 minutes after the cooling respectively.Results It indicated that the temperature of children in warm alcohol group dropped rapidly 60 minutes after cooling.Temperatures measured in three groups were with statistical significance（P0.01）.Conclusion Three methods adopted are effective to decline the temperature while the method of warm alcohol performs best.