急性创伤患者低体温发生率及其影响因素分析

Analysis of incidence of hypothermia and its influencing factors in patients with acute trauma

目的探讨急性创伤患者低体温发生率及其影响因素。方法采用便利抽样法，选取2014年3月-2017年3月郑州大学第一附属医院70例急性创伤患者为研究对象，记录患者低体温发生率，采用Cox回归分析急性创伤患者低体温发生率的影响因素。结果急性创伤患者发生低体温32例，发生率45．71％。校正创伤评分（RTS）、救护车保暖器具、术中是否预防性保暖及输注液体加温睛况是急性创伤患者发生低体温的影响因素（P〈0．05）。结论针对性进行预防性护理干预有助于降低急性创伤患者低体温的发生率，改善患者预后。

Objective To explore the incidence of hypothermia and its influencing factors in patients with acute trauma. Methods From March 2014 to March 2017, 70 patients with acute trauma from the First Affiliated Hospital of Zhengzhou University were selected as the search object by convenient sampling method. The incidence of hypothermia was recorded and the risk factors for hypothermia in acute trauma patients were analyzed by the Cox risk model. Results Hypothermia occurred in 32 patients with acute trauma, with an incidence of 45.71%. The Revised Trauma Score （RTS）, the use of an ambulance thermal apparatus, preventive warmth retention during surgery and liquid heating were the influencing factors of hypothermia in patients with acute trauma （P 〈 0.05）. Conclusions Targeted preventive nursing intervention can help reduce the incidence of hypothermia and improve the prognosis of patients with acute trauma.