高热患者药物降温后复测体温最佳时间点探讨

Best time re-measuring body temperature in high fever patients after taking fever-lowering drug

目的 探讨应用不同种类降温药物采用不同方式予高热患者降温后,复测体温的最佳时 间点.方法 随机抽取本院2015年2月至2016年6月5个内科科室和5个外科科室采用药物降温的成人高热患者506例,测量基础体温（T0）及给药后30 min（T1）、60min （T2）、90 min（T3）、120 min（T4）的体温,分别计算高热病人T0～T1、T1～T2、T2～T3、T3～T4的降温速率,平均降温幅度最大的时间段末为复测体温的最佳时间点.结果 肌肉注射复方氨林巴比妥注射液、赖氨匹林注射液降温的高热病人复测体温最佳时间点为给药后60 min,口服布洛芬、萘普生、对乙酰氨基酚降温的高热病人复测体温最佳时间点为给药后90 min.结论 成人高热患者采取药物降温治疗后最佳复测体温时间均大于30min;应根据药物种类、给药途径、高热患者的年龄进行研究,得到最佳复测体温时间点,为临床提供有效诊疗信息,节省医疗资源.

Objective To investigate the optimal times of temperature re-measurement of patients with high fever after taking different kinds of fever-lowering drugs in different ways.Methods 506 adult patients with high fever treated with fever-lowering drugs were randomly from 5 medical departments and 5 surgical departments at our hospital from February,2015 to June,2016.Their basal body temperature （T0） and temperatures 30 min （T1）,60min （T2）,90min （T3）,and 120 min （T4） after administration were measured.The fever-lowering rates of the patients at T0-T1,T1-T2,T3-T4,and T0-T1 were calculated.The end of the average cooling time of maximum amplitude was the optimal time for temperature re-measurement.Results For the patients with high fever aspisolly injected compound amionprine and antipyrine injection,the optimal time for temperature re-measurement was 60 min after administration and for the patients orally taking ibuprofen,naprosyn,and acetaminophen,the optimal time for temperature re-measurement was 90 min after administration.Conclusions The optimal times of temperature re-measurement of patients with high fever after taking different kinds of fever-lowering drugs in different ways are over 30 min.The optimal time point of temperature remeasurement should be researched according to drug types,administration ways,the high fever patients＇ age,so as to provide effective information for clinical diagnosis and treatment and save medical resources.