预防性加温输液对急诊创伤患者生理指标及预后的影响

The Effect of Preventive Warming and Transfusion on the Physiological Indexes and Prognosis of Emergency Trauma Patients

目的分析预防性加温输液对急诊创伤患者生理指标及预后的影响。方法随机选取2018年10月—2020年1月该院接受输液治疗的急诊创伤患者60例作为研究对象,根据入院先后顺序分成研究组和对照组,比对患者对护理工作的满意度、患者入室不同时间段体温状况及各项护理效果指标。结果研究组护理满意度为96.67%,明显高于对照组66.67%,差异有统计学意义(χ^(2)=9.017,P<0.05);研究组2 h后依然出现低温概率12/30(40.00%)明显低于对照组21/30(70.00%),差异有统计学意义(χ^(2)=5.455,P<0.05);研究组患者体温逐渐趋于平稳状态,干预1.5 h前,组间差异无统计学意义(P>0.05),干预1.5 h及以后,组间差异有统计学意义(P<0.05),其中研究组患者30 min、1 h、1.5 h、2 h温度分别为(35.9±0.73)、(36.2±0.93)、(36.8±0.43)、(36.7±0.52)℃,对照组温度为(35.6±0.56)、(35.9±0.36)、(35.3±0.76)、(36.3±0.26)℃;研究组并发症发生率为13/30(43.33%),对照组28/30(93.33%),差异有统计学意义(P<0.05)。结论预防性加温输液对急诊创伤患者干预效果显著,室温之下快速液体复苏,可以有效改善患者体温,保障机体新陈代谢较优以及一切生命活动能够正常开展,并提高护理满意度及急诊创伤患者的救治率,值得在临床上推广应用。

Objective To analyze the effect of preventive warming infusion on the physiological indicators and prognosis of emergency trauma patients.Methods From October 2018 to January 2020,60 cases of emergency trauma patients who received infusion therapy in the hospital were selected randomly as the research objects,and they were divided into study group and control group according to the order of admission.Compared the patient's satisfaction with nursing work,the patient's body temperature at different time periods in the room,and various nursing effect indicators.Results The nursing satisfaction rate of the study group was 96.67%significantly higher than that of the control group 66.67%,the difference was statistically significant(χ^(2)=9.017,P<0.05);the study group still had low temperature after 2 h,the probability of 12/30(40.00%)was significantly lower than the control group 21/30(70.00%),the difference was statistically significant(χ^(2)=5.455,P<0.05),the body temperature of the patients in the study group gradually stabilized,before the intervention for 1.5 h,there was no statistical difference between the group(P>0.05),intervene for 1.5 h and later,the difference was statistically significant(P<0.05).The emperature of patients in the study group at 30 min,1 h,1.5 h,and 2 h were(35.9±0.73)℃,(36.2±0.93)℃,(36.8±0.43)℃,(36.7±0.52)℃,and the temperature of the control group was(35.6±0.56)℃,(35.9±0.36)℃,(35.3±0.76)℃,(36.3±0.26)℃;the probability of complications in the study group was 13/30(43.33%),the control group 28/30(93.33%),the difference was statistically significant(P<0.05).Conclusion Preventive warming infusion has a significant intervention effect on emergency trauma patients.Rapid fluid resuscitation at room temperature can effectively improve the patient's body temperature,ensure that the body's metabolism is better and all life activities can be carried out normally,and improve nursing satisfaction and emergency trauma patients'treatment,it is worthy of clinical application.