物理降温后测量体温的最佳时间探讨

Analysis of the best time of body temperature measured after physical cooling

目的探讨物理降温后测量体温的最佳时间。方法将90例T≥38.5℃的患者随机均分成3组,分别接受小儿温水擦浴(CW组)、成人温水擦浴(AW组)和成人酒精擦浴(AA组),测量并记录基础体温(T0)及擦浴结束后30分钟(T1)、45分钟(T2)、60分钟(T3)、75分钟(T4)患者的体温。结果与T0～2时间点体温比较,患者在T3时间点上体温降至最低(P<0.01);在同一时间点的组间比较,3组体温下降无统计学意义(P>0.05)。结论物理降温后测量体温的最佳时间为60分钟,采取酒精或温水擦浴对降温效果无明显影响。

Objective To investigate the best time of body temperature measured after physical cooling.Methods 90 patients with T≥38.5℃ were randomly divided into three groups of children received sponge bath with warm water（CW group）,adult sponge bath with warm water（AW group） and adult sponge bath with alcohol（AA group）.The body temperatures were measured and assessed before sponge bath（T0） and after 30 min（T1）,45 min（T2）,60 min（T3） and 75 min（T4） of the end sponge bath.Results The body temperatures at T3 were lower than that at T0-2（P0.01）,and the temperatures of three groups were equivalent at the same time point（P0.05）.Conclusion The best time of body temperature measured was at 60 minutes after physical cooling,and there was no significant impact on the cooling effect by taking alcohol or warm water sponge bath.