基于最佳证据总结的体温管理对急诊创伤性失血性休克患者的影响  

Effect of Temperature Management Based on the Best Evidence Summary on Patients with Emergency Traumatic Hemorrhagic Shock

作　　者：梁晓欣 Liang Xiaoxin(Department of Emergency,Dongguan People's Hospital,Dongguan 23200,Guangdong Province,China)

机构地区：[1]东莞市人民医院急诊科,广东东莞523200

出　　处：《中外医药研究》2025年第2期109-111,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

基　　金：东莞市社会发展科技项目(编号:20211800903462)。

摘　　要：目的:研究基于最佳证据总结的体温管理对急诊创伤性失血性休克(HTS)患者的影响。方法:选取2022年6月—2023年10月东莞市人民医院收治的150例HTS患者,根据随机数字表法分为对照组与研究组,每组75例。对照组予以常规体温管理,研究组在对照组基础上予以基于最佳证据总结的体温管理。比较两组体温控制相关指标、生活质量、不良事件发生情况。结果:研究组住院时间、休克恢复时间短于对照组,低体温发生率低于对照组,研究组平均体温高于对照组(P<0.05);干预后,两组生活质量综合评定问卷评分升高,研究组高于对照组(P<0.001);研究组不良事件发生率低于对照组(P=0.044)。结论:基于最佳证据总结的体温管理可以降低急诊HTS患者的低体温发生率,促进患者康复,提高其生活质量,并减少相关不良事件的发生。Objective:To study the effect of temperature management based on the best evidence summary on patients with emergency traumatic hemorrhagic shock(HTS).Methods:A total of 150 HTS patients admitted to Dongguan People's Hospital from June 2022 to October 2023 were selected and divided into a control group and a study group according to the random number table method,with 75 cases in each group.The control group was given routine temperature management,and the study group was given temperature management based on the best evidence summary on the basis of the control group.The two groups were compared in terms of temperature control-related indicators,quality of life,and adverse events.Results:The hospitalization time and shock recovery time of the study group were shorter than those of the control group,the incidence of hypothermia was lower than that of the control group,and the average temperature of the study group was higher than that of the control group(P<0.05).After intervention,the scores of Generic Quality of Life Inventory-74 in the two groups increased,and the score of the study group was higher than that of the control group(P<0.001).The incidence of adverse events in the study group was lower than that in the control group(P=0.044).Conclusion:Temperature management based on the best evidence summary can reduce the incidence of hypothermia in emergency HTS patients,promote patient recovery,improve their quality of life,and reduce the occurrence of related adverse events.

关 键 词：体温管理 最佳证据总结 创伤性失血性休克 急救 低体温 

分 类 号：R473.6[医药卫生—护理学]