严重创伤患者低体温的原因分析及护理  

Warming nursing to severe traumatic patients with hypothermia and nursing measures

作　　者：吴荷玉[1] 吴丽[1] 蹇琳[1] 王平[1] 刘红[1] 叶玲[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院手术室,湖北武汉430022

出　　处：《现代临床护理》2016年第11期31-35,共5页Modern Clinical Nursing

基　　金：湖北省自然科学基金面上项目;项目编号为2014CFB488

摘　　要：目的探讨严重创伤患者并发低体温的原因,为制订采取有效保温措施提供科学依据。方法对2014年1月-12月100例严重创伤患者的体温进行监测、记录和原因分析,并进行相应有效的保温措施。结果 100例患者术前59例出现低体温,发生率为59.0%,术中28例出现低体温,术中发生率为28.0%,其原因包括创伤并发低体温、麻醉、暴露和液体复苏。保温措施包括麻醉诱导前体温预处理、减少暴露和术中保温及维持等。结论严重创伤患者手术低体温的原因包括创伤并发低体温、麻醉、暴露和复苏,采取保温措施,能有效减少低体温发生,提高严重创伤患者的生存率。Objective To investigate the causes of hypothermia in severe trauma patients as well as the effects of warming nursing. Methods Toally 100 severe trauma patients with hypothermia were engaged in the study during January to December 2014.Their temperature was monitored and recorded, the causes analyzed so that the warming nursing measures were done to them. Results Among the 100 patients, 59 contracted hypothermia, with the rate of 59.0% before operation, 28 contracted hypothermia during operation, with the incidence rate of 28.0%. The causes of hypothermia included injury, anaesthesia, exposure and fluid resuscitation.The nursing measures included pre-treatment before anaesthesia, avoidance of more exposure and intraoperative warming. Conclusions For the patients with severe trauma, the hypothermia during the operation can be caused by injury, anaesthesia, exposure and fluid resuscitation. The warming nursing can reduce the incidence of hypothermia so as to increase their survival rate.

关 键 词：手术患者 严重创伤 低体温 保温 

分 类 号：R473.6[医药卫生—护理学]