高热患儿不同温度乙醇擦浴降温效果观察  

Effectiveness of Lowering Temperature with Alcohol at Different Temperature in the Children with High Fever

作　　者：李子萍[1] 钱念渝[1] 陈希萍[1] 保颖怡[1] 蔡雪林[2] 

机构地区：[1]佛山职工医学院附属医院儿科,广东佛山528000 [2]中南大学附属第三医院护理部,湖南长沙410011

出　　处：《护理学杂志》2005年第15期31-32,共2页

摘　　要：目的探讨不同温度乙醇擦浴对高热患儿的降温效果,为临床护理选择合适的降温方法提供依据.方法将150例临床就诊的高热患儿随机分为3组.降温时甲组(53例)采用28～32℃乙醇(30%～50%),乙组(50例)采用41～43 C乙醇(30%～50%),丙组(47例)采用41～43℃薄荷乙醇,均按护理操作程序擦浴30 min,测量擦浴前后体温.结果甲、乙、丙3组擦浴后体温下降有效率分别为77.4%、86.0%、95.7%,3组比较,差异有显著性意义(P＜0.01);3组体温下降平均幅度分别为(0.49±0.12)、(0.64±0.15)、(0.96±0.14)℃,3组比较,差异有显著性意义(P＜0.05);3组擦浴后60 min体温回升率分别为41.5%、30.0%、19.1%,3组比较,差异有显著性意义(P＜0.01).结论不同温度乙醇均具有降温效果,其中以薄荷乙醇浸剂降温效果最好.Objective To investigate the effectiveness of lowering temperature with alcohol at different temperature in the children with high fever to provide the basis for selecting appropriate methods for lowering temperature in clinical nursing.Methods One hundred and fifity high fever children were randomly divided into 3 groups: group A (53 cases), 28-32 alcohol (30%-50%); group B (50 cases), 41-43 alcohol (30%-50%); group C (47 cases), 41-43 mint alcohol. All patients were subjected to the sponge bath for 30 min according to the (nursing) procedure. The boby temperature was measured before and after the sponge bath.Results The effective rate of body temperature lowering was 77.4%, 86.0% and 95.7% respectively in groups A, B and C with the difference being significant (P<0.01). The average range of temperature reduction in groups A, B and C was (0.49)0.12, 0.640.15 and 0.960.14 respectively (P<0.05). Sixty min after sponge bath, the rate of the elevated temperature was 41.5%, 30.0% and 19.1% separately in groups A, B and C (P<0.01).Conclusion Alcohol at different temperature has the effectiveness of lowering temperature. Mint alcohol is the most effective of all.

关 键 词：发热 患儿 乙醇 温度 物理降温 

分 类 号：R473.72[医药卫生—护理学] R472[医药卫生—临床医学]