肺炎高热婴儿几种不同降温方法的效果对比

The effect of different methods of dropping hyperpyrexia on the infant of pneumonia

目的通过探讨3种降温方法对肺炎高热婴儿的降温效果,寻找一种最适合肺炎高热婴儿的首选物理降温方法。方法将120例肺炎高热婴儿随机分为温水擦浴组、冰袋降温组与酒精擦浴降温组3组,对三种降温方法的降温效果和不良反应进行观察。结果冰袋降温组与温水擦浴组降温效果差异有统计学意义(χ2=10.45,P<0.05),冰袋降温组降温效果比温水擦浴组好。温水擦浴组与酒精擦浴组降温效果差异有统计学意义(χ2=13.33,P<0.05),酒精擦浴组降温效果比温水擦浴组好。冰袋降温组与酒精擦浴组降温效果差异无统计学意义(χ2=0.204 6,P>0.05),降温效果相近。温水擦浴不良反应最小,冰袋降温不良反应比酒精擦浴更小、更安全。结论高热伴有畏寒、寒战及四肢冰冷的患儿,宜用温水擦浴。高热但无明显畏寒、寒战及四肢冰冷的患儿宜用冰袋降温及酒精擦浴降温。

Objective To discuss the effect of three methods of dropping the high temperature of the infant of pneumo nia. Methods 120 hyperpyrexia infants with pneumonia were randomly divided into the warm warter bathing group, the ice bag group,the alcohol bathing group.The indices of the effect of dropping hyperpyrexia and harmful reaction were observed in three group. Results There were different from the warm warter bathing group and the ice bag group （X2=10.45 ,P〈0.05）, the effect of the ice bag group was better than the warm warter bathing group. There were different from the warm warter bathing group and the alcohol bathing group （X2=13.33 ,P〈0.05）, the effect of the alcohol bathing group was better than the warm warter bathing group. There were very little different from ice bag group and the alco- hol bathing group （X2=0.204 6, P〉0.05）, there were the same exctent of dropping temperature. There was little harmful reaction on the warm wafter bathing, but the recovery of temperature was piror .The harmful reaction of ice bag group was smaller and safer than the alcohol bathing group. Conclusion Hyperpyrexia with afraid coldness,chill and icy limbs was better use the warm warter bathing. Hyperpyrexia without afraid coldness,chill and icy limbs was better use the ice bag methods. Hyperpyrexia and needing dropping temperature quickly can choose, the alcohol bathing method and ice bag method.