早期控制体温对治疗计划外低体温患者效果评价

Effect of early control of body temperature on patients with planned low body temperature

目的:探讨早期应用3M患者升温系统对计划外低体温患者的临床应用效果。方法:选取本院ICU 2017年1月至2019年5月收治的计划外低体温患者40例,按照收治先后顺序分为对照组和观察组各20例。对照组给予药物及物理保暖措施,观察组早期使用3M动力充气型升温系统进行体温控制干预。对比两组体温控制情况、ICU入住天数、舒适满意度、心血管不良事件发生率。结果:干预前,两组患者体温水平比较无明显差异(P>0.05);干预后,两组患者体温与干预前相比均有明显提升,但观察组体温提升幅度及舒适满意度评价明显优于对照组,观察组ICU入住天数、心血管不良事件发生率明显低于对照组,差异均有统计学意义(P<0.05)。结论:对ICU计划外低体温患者实施早期体温控制,可明显减少意外低体温给患者带来的危害,缩短患者ICU入住时间,提高ICU救治质量。

Objective:To explore the clinical application effect of early application of 3 M patient warming system to patients with unplanned hypothermia.Methods:Forty patients with unplanned hypothermia admitted to our hospital from January 2017 to May 2019 were divided into control group and observation group according to the order of treatment.The control group was given the application of drugs and physical warming measures.The observation group used the 3 M dynamic inflation type heating system for body temperature control intervention.Compare the two groups of body temperature control,ICU stay days,comfort satisfaction,and the incidence of cardiovascular adverse events.Results:Before the intervention,there was no significant difference in body temperature between the two groups(P>0.05).After the intervention,the body temperature of both groups was significantly higher than that before the intervention,but the evaluation of the temperature increase and comfort satisfaction of the observation group was significantly better than that of the control group.The incidence of ICU stay and cardiovascular adverse events in the observation group was significantly lower than that in the control group;the difference was statistically significant(P<0.05).Conclusion:Early temperature control of patients with ICU unplanned hypothermia can significantly reduce the risk of accidental hypothermia to patients,shorten the ICU stay,and improve the quality of ICU treatment.