物理降温和药物降温在婴幼儿发热中的应用  

Application of Physical Cooling and Drug Cooling in Infant Fever

作　　者：钱秀玲[1] 王执勇[2] 郭玉华[2] QIAN Xiuling;WANG Zhiyong;GUO Yuhua(Department of Nursing,Weifang Maternal and Child Health Hospital,Weifang Shandong 261011,China;Department of Pediatrics,Weifang Maternal and Child Health Hospital,Weifang Shandong 261011,China)

机构地区：[1]潍坊市妇幼保健院护理部,山东潍坊261011 [2]潍坊市妇幼保健院儿科,山东潍坊261011

出　　处：《中国卫生标准管理》2019年第5期161-163,共3页China Health Standard Management

摘　　要：目的探讨婴幼儿发热中物理降温、药物降温两种降温方式的临床效果差异。方法选取2016年8月—2018年7月本院急诊科所收治发热婴幼儿76例,均接受降温处理,按照降温方式的不同将其分为物理组(物理降温,温水擦浴及温水浸浴)和药物组(药物降温,阿司匹林等水杨酸类药物或乙酰氨基酚等乙酰苯胺类药物),对其降温效果差异进行对比分析。结果物理组患儿降温治疗总有效率明显高于药物组,差异有统计学意义(P <0.05)。结论采用物理降温方式对婴幼儿发热进行降温处理,较药物降温方式其效果更加显著,且操作简便,安全可靠。Objective To investigate the difference of clinical effect between physical cooling and drug cooling in infant fever.Methods 76 infants with fever were selected from August 2016 to July 2018 in emergency department of our hospital.They were all treated by cooling.They were divided into physical group(physical cooling,warm water bath and warm water bath)and drug group(drug cooling,salicylic acid drugs such as aspirin or acetaminophen and other acetaniline drugs)according to the different cooling methods.The difference of cooling effect was compared and analyzed.Results The effective rate of cooling treatment for children in physical group was significantly higher than that of drug group,and the difference was significant(P<0.05).Conclusion The method of physical cooling is used to cool the fever of infants and young children,and the effect of drug cooling is more significant,and the operation is simple,safe and reliable.

关 键 词：婴幼儿疾病 急诊高热 物理降温 药物降温 降温效果 对照研究 

分 类 号：R473.72[医药卫生—护理学]