急诊创伤后自发性低体温发生因素分析与干预措施

Analysis of factors for spontaneous hypothermia after emergency trauma and its intervention measures

目的探讨急诊创伤后自发性低体温发生危险因素分析及干预措施。方法选取我科2016年1月至2017年12月收治的100例急诊创伤患者中23例发生自发性低体温患者作为本次调查对象,统计患者基本信息、创伤类型、现场急救因素等资料并分析影响自发性低体温危险因素。结果本次接受调查患者中发生自发性低体温23例(23. 00%),患者创伤严重程度、救护车抵达时患者状态、转运时有无保暖措施为患者发生自发性低体温的危险因素。结论急诊创伤后自发性低体温发生率较高,除患者客观因素以外应建议院前急救护理人员快速评估患者综合情况,采取相应保暖措施,并就可能诱发自发性低体温的危险因素实施预见性复温护理,降低创伤后自发性低体温发生率。

Objective To explore the analysis of risk factors for spontaneous hypothermia after emergency trauma and its intervention measures. Methods To select 23 patients with spontaneous hypothermia from 100 cases of emergency trauma patients who admitted in our department from January 2016 to December 2017 as the research subjects of this study. Data such as the basic information, type of trauma, and on - site first - aid factors were collected,and spontaneous hypothermia risk factors were analyzed. Results There were 23 cases （23. 00%）of surveyed patients had spontaneous hypothermia. Theseverity of the trauma, the state of the patient when the ambulance arrived, and the presence or absence of warmth method during transport were risk factorsfor spontaneous hypothermia. Conclusion The incidence of spontaneous hypothermia after emergency trauma is high. In addition to the objective factors of patients, it is recommended that emergency care personnel can assess the patient＇ s comprehensive situation as soon as possible and take appropriate warmth measures. Mean while, the nursing personnel need to take warmth measures for the predicable risk factors that may induce spontaneous hypothermia, thus educing the incidence of spontaneous hypothermia after trauma.