临床医学工程
臨床醫學工程
림상의학공정
CLINICAL MEDICAL ENGINEERING
2014年
6期
783-784
,共2页
效果分析%物理降温%擦浴%骨折术后发热
效果分析%物理降溫%抆浴%骨摺術後髮熱
효과분석%물리강온%찰욕%골절술후발열
Effect analysis%Physical cooling%Bath%Fever after fracture operation
目的：探讨物理降温应用于骨折术后发热患者的效果分析。方法入选我院2013年1月至2013年12月行切开复位内固定术的四肢骨折患者60例，按术后是否发生感染分为感染组34例及非感染组26例，对患者予以物理降温护理方式，即擦浴降温。比较两组物理降温的效果，比较非感染组各个温度节段擦浴后的降温情况。结果非感染组第二次擦浴后0.5h、1h、2h、4h降温有效率显著高于感染组，差异具有统计学意义(P<0.05)；38.0~38.4℃温度节段的第一次擦浴后0.5h、第二次擦浴后0.5h、1h、2h、4h降温有效率显著高于其他两个温度节段，差异具有统计学意义(P<0.05)，且擦浴后降温有效率随着发热温度的升高而下降。结论物理降温应用于骨折术后发热患者，临床效果确切，尤其对非感染患者效果显著，非感染发热中擦浴效果随着发热温度的升高而降低。
目的：探討物理降溫應用于骨摺術後髮熱患者的效果分析。方法入選我院2013年1月至2013年12月行切開複位內固定術的四肢骨摺患者60例，按術後是否髮生感染分為感染組34例及非感染組26例，對患者予以物理降溫護理方式，即抆浴降溫。比較兩組物理降溫的效果，比較非感染組各箇溫度節段抆浴後的降溫情況。結果非感染組第二次抆浴後0.5h、1h、2h、4h降溫有效率顯著高于感染組，差異具有統計學意義(P<0.05)；38.0~38.4℃溫度節段的第一次抆浴後0.5h、第二次抆浴後0.5h、1h、2h、4h降溫有效率顯著高于其他兩箇溫度節段，差異具有統計學意義(P<0.05)，且抆浴後降溫有效率隨著髮熱溫度的升高而下降。結論物理降溫應用于骨摺術後髮熱患者，臨床效果確切，尤其對非感染患者效果顯著，非感染髮熱中抆浴效果隨著髮熱溫度的升高而降低。
목적：탐토물리강온응용우골절술후발열환자적효과분석。방법입선아원2013년1월지2013년12월행절개복위내고정술적사지골절환자60례，안술후시부발생감염분위감염조34례급비감염조26례，대환자여이물리강온호리방식，즉찰욕강온。비교량조물리강온적효과，비교비감염조각개온도절단찰욕후적강온정황。결과비감염조제이차찰욕후0.5h、1h、2h、4h강온유효솔현저고우감염조，차이구유통계학의의(P<0.05)；38.0~38.4℃온도절단적제일차찰욕후0.5h、제이차찰욕후0.5h、1h、2h、4h강온유효솔현저고우기타량개온도절단，차이구유통계학의의(P<0.05)，차찰욕후강온유효솔수착발열온도적승고이하강。결론물리강온응용우골절술후발열환자，림상효과학절，우기대비감염환자효과현저，비감염발열중찰욕효과수착발열온도적승고이강저。
Objective To investigate the effect of physical cooling on postoperative fever of patients with fracture. Methods 60 patients with limb fractures treated with open reduction and internal fixation in our hospital from January 2013 to December 2013 were selected, and divided into infection group (n=34) and non infection group (n=26) according to whether there was postoperative infection. All patients received physical cooling nursing. The clinical effects of physical cooling were compared between the two groups, and the cooling condition of each temperature section after bath in the non infection group were compared. Results The effective rates of cooling at 0.5 h, 1 h, 2 h, 4 h after second bath in the non infection group were significantly higher than those of the infection group respectively, and the differences were statistically significant (P<0.05). Cooling efficiency at 0.5 h after the first bath and 0.5 h, 1 h, 2 h, 4 h after second bath at the 38℃to 38.4℃section were significantly higher than that of the other two temperature section, and the differences were statistically significant (P<0.05), and the cooling efficiency after bath decreased with the increase of heating temperature. Conclusions Physical cooling applied to patients with fever after fracture operation has exact clinical effect, particularly on patients without infection, and the effect of bath on non infectious fever decreases with increasing heating temperature.
