集束化保温干预在急诊创伤患者中的应用效果及对自发性低体温发生情况与凝血功能的影响

Application effect of clustered warming intervention in emergency trauma patients and its influences on spontaneous hypothermia and coagulation function

目的研究集束化保温干预在急诊创伤患者中的应用效果及对自发性低体温发生情况与凝血功能的影响。方法根据干预措施的不同将本院接收的108例急诊创伤患者分为对照组与观察组,各54例。对照组实施常规保暖措施干预,观察组实施集束化保温干预。比较两组的干预效果。结果观察组入急诊室时、急诊30 min后、急诊60 min后的体温均显著高于对照组(P<0.05)。观察组寒战、自发性低体温、感染、深静脉血栓的发生率显著低于对照组(P<0.05)。观察组的休克指数、补液量、有效抢救时间均显著优于对照组(P<0.05)。急诊60 min后,两组的舒张压、收缩压均升高,心率、呼吸频率、Fib水平均降低,APTT、TT、PT均延长,且观察组均优于对照组(P<0.05)。结论集束化保温干预应用于急诊创伤患者能够较好地预防自发性低体温,改善其生命体征及凝血功能,提高急诊抢救质量。

Objective To study the application effect of clustered warming intervention in emergency trauma patients and its influences on spontaneous hypothermia and coagulation function.Methods According to different intervention measures,108 emergency trauma patients received in our hospital were divided into control group and observation group,with 54 cases in each group.The control group was given routine warming measures intervention,and the observation group was given clustered warming intervention.The intervention effects of the two groups were compared.Results The body temperature at the time of entering the emergency room,30 min and 60 min after the emergency in the observation group was significantly higher than that in the control group(P<0.05).The incidences of shivering,spontaneous hypothermia,infection and deep venous thrombosis in the observation group were significantly lower than those in the control group(P<0.05).The shock index,rehydration volume and effective rescue time in the observation group were significantly better than those in the control group(P<0.05).At 60 min after the emergency,the diastolic and systolic blood pressure increased,the heart rate,respiratory rate and Fib level decreased,and APTT,TT and PT prolonged in the two groups,and those in the observation group were better than the control group(P<0.05).Conclusion The clustered warming intervention applied in the emergency trauma patients can better prevent spontaneous hypothermia,improve their vital signs and coagulation function,and improve the quality of emergency rescue.