摘要目的 探讨预见性复温护理在急诊多发创伤患者中的应用效果。方法 选取2016年1月～2018年12月我院收治的205例多发创伤患者为研究对象，按随机数字表法将其分为试验组和对照组，试验组100例，对照组105例。对照组给予常规急救护理，试验组在对照组的基础上给予预见性复温护理，比较两组入院前、入院时和入院后1 h 体温变化情况，抢救成功率、寒颤、心律失常发生率和自发性低体温发生情况，自发性低体温持续时间和低体温时间累加值。结果 试验组入院时和入院后1 h 体温、抢救成功率高于对照组，差异有统计学意义（P<0.05）；试验组寒颤、心律失常和自发性低体温发生率低于对照组（P<0.05），试验组自发性低体温持续时间短于对照组，低体温时间累加值小于对照组，差异均有统计学意义（P<0.05）。结论 预见性复温护理能有效强化急救抢救流程，降低多发创伤患者自发性低体温的发生率，提高抢救成功率。
Abstract：Objective To investigate the application effect of predictive rewarming nursing in patients with multiple trauma in emergency department.Methods A total of 205 patients with multiple trauma patients who were admitted to our hospital from January 2016 to December 2018 were selected as study subjects, the patients were divided into the experimental group and the control group according to the random number table method, 100 in the experimental group and 105 in the control group.The patients in the control group were given routine emergency nursing, and the experimental group was given predictive rewarming nursing on the basis of the control group.The changes of body temperature before and after admission and 1 hour after admission, rescue success rate, chills, arrhythmia rate and spontaneous hypothermia, spontaneous hypothermia duration and hypothermia time cumulative value between the two groups were compared.Results The body temperature and rescue success rate of the experimental group admission and 1 hour after admission were higher than those of the control group, the difference was statistically significant (P<0.05),the incidence of chills, arrhythmia and spontaneous hypothermia in the experimental group was lower than that in the control group (P<0.05), the duration of spontaneous hypothermia in the experimental group was shorter than that in the control group, and the cumulative value of hypothermia was smaller than that in the control group, and the differences were statistically significant(P<0.05).Conclusion Predictive rewarming therapy can effectively strengthen the emergency rescue process, reduce the incidence of spontaneous hypothermia in patients with multiple trauma, and improve the success rate of rescue.
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