中国继续医学教育
中國繼續醫學教育
중국계속의학교육
CHINA CONTINUING MEDICAL EDUCATION
2015年
3期
145-146
,共2页
冰毯%冰帽%亚低温%中枢性高热%护理
冰毯%冰帽%亞低溫%中樞性高熱%護理
빙담%빙모%아저온%중추성고열%호리
Ice blankets%Ice cap%Low temperature%Central high fever%Nursing
目的：对中枢性高热患者应用冰毯及冰帽亚低温治疗的护理进行探讨。方法随机将2013年1月～2014年7月中枢性高热患者52例分为A组和B组。A组在药物治疗的基础上加用局部冰敷降温。B组在药物治疗基础上加用冰毯及冰帽降温。比较两组患者降温效果、GLS评分及病死率。结果采用电冰毯及冰帽亚低温治疗，降温效果显著，能够提高GLS评分，但对患者的病死率无明显影响。结论中枢性高热患者采用冰毯及冰帽降温，具有安全可靠、制冷速度快、不良反应少等优点，解决了传统物理降温效果欠佳的问题，提高了工作效率。
目的：對中樞性高熱患者應用冰毯及冰帽亞低溫治療的護理進行探討。方法隨機將2013年1月～2014年7月中樞性高熱患者52例分為A組和B組。A組在藥物治療的基礎上加用跼部冰敷降溫。B組在藥物治療基礎上加用冰毯及冰帽降溫。比較兩組患者降溫效果、GLS評分及病死率。結果採用電冰毯及冰帽亞低溫治療，降溫效果顯著，能夠提高GLS評分，但對患者的病死率無明顯影響。結論中樞性高熱患者採用冰毯及冰帽降溫，具有安全可靠、製冷速度快、不良反應少等優點，解決瞭傳統物理降溫效果欠佳的問題，提高瞭工作效率。
목적：대중추성고열환자응용빙담급빙모아저온치료적호리진행탐토。방법수궤장2013년1월～2014년7월중추성고열환자52례분위A조화B조。A조재약물치료적기출상가용국부빙부강온。B조재약물치료기출상가용빙담급빙모강온。비교량조환자강온효과、GLS평분급병사솔。결과채용전빙담급빙모아저온치료，강온효과현저，능구제고GLS평분，단대환자적병사솔무명현영향。결론중추성고열환자채용빙담급빙모강온，구유안전가고、제랭속도쾌、불량반응소등우점，해결료전통물리강온효과흠가적문제，제고료공작효솔。
ObjectiveTo discuss the nursing for central high fever treated with ice blanket and ice cap.Methods 52 patients with central high fever in January 2013~July 2014 were divided into group A and group B. On the basis of drug treatment group A with local ice cooling. Group B on the basis of drug therapy combined with carpet and ice cap. Compared two groups of patients with cooling effect, GLS score and case fatality rate. Results By electric blanket and ice cap and the low temperature treatment, cooling effect was remarkable, it can improve the GLS score, but the rate had no obvious inlfuence on the patients.Conclusion Patients with central high fever with ice cool carpet and ice cap are safe and reliable, have fast refrigeration, less adverse reaction, and can solved the problem of the inefifciency of traditional physical cooling. The recovery rate is high and can reduce the workload and improve the working efifciency.
