控温毯在脑外伤术后昏迷并发高热患者预防压疮中的应用

目的探讨控温毯在脑外伤术后昏迷并发高热患者预防压疮中的应用效果。方法选择本院颅脑外科收治的脑外伤术后昏迷并发高热患者186例,随机分为试验组96例和对照组90例。对照组采用普通物理降温,试验组采用医用控温毯降温,比较两组患者的降温效果及压疮的发生率。结果两组患者降温效果比较,P>0.05,差异无统计学意义;两组患者压疮发生率比较,P<0.05,差异具有统计学意义,试验组压疮发生率低于对照组。结论脑外伤术后昏迷并发高热患者应用控温毯降温能有效降低患者的体温,减少皮肤压疮的发生,提高患者的护理质量。

Objective To study the application of ice blanket in reducing the temperature of coma patients from cerebral trauma. Methods 186 coma patients from cerebral trauma were randomly divided into the ice blanket group （n = 96） and the control group. The temperatures in the former group were reduced using ice blanket and the one in the control group using physical method.The incidences of pressure ulcers and the effects of temperature dropping were compared between the two groups.Results There was no significant difference in the effects of temperature dropping in the two groups（P 0.05）. The incidence of pressure ulcers in the ice blanket group was significantly lower than that of the control group （P 0.05）. Conclusions Ice blanket is effective in reduce the temperatures of coma patients from cerebral trauma and the incidence of their pressure ulcers.