综合物理降温在手足口病高热患儿体温管理中的应用  

Applicant of Integrated Physical Cooling in Treatment of HFMD Patients with High Temperature

作　　者：李复华[1] 汪锴[1] 

机构地区：[1]湖北省孝感市中心医院感染科,432000

出　　处：《中华全科医学》2011年第6期984-985,共2页Chinese Journal of General Practice

摘　　要：目的总结应用综合物理降温的方法,解决手足口病高热患儿急需降低体温这一健康问题,从而探讨综合物理降温用于手足口病高热患儿护理的作用及意义。方法从2008年5月开始,笔者根据手足口病高热患儿急需降低体温这一需求,系统查询了高热护理方面的文献,并对查询实证类型加以归类,选择了设计最精密、最能科学地反映干预小儿手足口病高热降温效果的最佳实证,其中有温水擦浴降温法、冰袋降温法、冰枕降低头温法、4℃盐水灌肠法、静脉降温法、医用电子降温毯降温法、解热药降温法。结果将上述降温方法用于126例手足口病高热患儿的护理中,111例患儿在入院24 h内体温降至37.5℃以下,14例除物理降温外还加用了解热镇痛药,48 h后体温控制在37.5℃左右,1例因只有5个月未加用解热镇痛药,60 h后体温降至37.5℃以下。治愈率达100%。结论将综合物理降温用于手足口病高热患儿的护理中能迅速降低体温,控制惊厥,减少并发症,缩短病程,有利于患儿早日康复。Objective To summarize the using of the integrated physical cooling method in solving health problems in HFMD patients with high temperature,and to explore function and significance of this comprehensive physical cooling.Methods Nursing literature about high fever was inquired,query type was classified,the most sophisticated and scientifically empirical that can reflect the intervention pediatric HFMD high fever cooling was selected,including water wipe bath temperature-decrease method,ice packs of temperature-decrease method,ice pillow lower head temperature method,4 ℃ salt water enema method,intravenous temperature-decrease method,medical electronic cooling blanket temperature-decrease method,and antipyretic drug cooling method.Results The cooling method was used in 126 cases of hand,foot and mouth disease,the temperature of 111 cases dropped to 37.5 ℃ within 24 hours of and 14 cases with physical cooling and understanding thermal analgesics,the temperature was 37.5 ℃ around in 48 hours,1 case for only five months without using antipyretic analgesics,60 hours later,the temperature dropped to below 37.5 ℃.Cure rate was 100%.Conclusion Comprehensive physical cooling for HFMD patients nursing can reduce temperature and control seizures,reduce the complications,shorten course,was helpful for recovery of children with HFMD.

关 键 词：综合物理降温 手足口病 高热 小儿 

分 类 号：R473.72[医药卫生—护理学] R512.57[医药卫生—临床医学]