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亚低温治疗联合护理干预在重症监护病房危重症高热患者中的应用

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目的 探究对重症监护室危重症高热患者使用亚低温治疗联合护理干预的应用效果。方法 选取 2021 年 3 月至 2023 年 6 月河南省人民医院收入的 62 例重症监护室危重症高热患者,按随机数字表法分组。对照组 31 例患者使用护理干预,研究组 31 例患者使用亚低温治疗联合护理干预,将两组患者降温效果、神经功能评分、预后情况、颅内压变化情况进行比较。结果 研究组降温有效率(19。35%)明显高于对照组(96。77%),差异有统计学意义(P<0。05)。护理前,两组神经功能评分差异无统计学意义(P>0。05);护理后,研究组神经功能评分低于对照组,差异有统计学意义(P<0。05)。护理前,两组患者格拉斯哥昏迷评分(GCS)差异无统计学意义(P>0。05);护理 1 个月、2 个月、3个月后,研究组格拉斯哥昏迷评分明显高于对照组,差异有统计学意义(P<0。05)。护理前,两组颅内压变化比较差异无统计学意义(P>0。05);护理后,研究组诱导期 3 h、维持期 9 h、复温期 22 h的颅内压数值低于对照组,差异有统计学意义(P<0。05)。结论 亚低温治疗联合护理干预在重症监护病房危重症高热患者中具有重要作用,可以有效改善患者降温效果,降低颅内压,减轻脑水肿,提高生存率,值得应用。
Application of Hypothermia Therapy Combined with Nursing Intervention in Critically Ill Patients with High Fever in the Intensive Care Unit
Objective To explore the application effect of hypothermia therapy combined with nursing intervention in critically ill patients with high fever in the intensive care unit.Methods A total of 62 critically ill patients with high fever admitted to the ICU of Henan Provincial People's Hospital from March 2021 to June 2023 were selected and divided into groups using a random number table method.The control group(31 patients)received nursing intervention,while the study group(31 patients)received hypothermia therapy combined with nursing intervention.The cooling effect,neurological function scores,prognosis,and changes in intracranial pressure were compared between the two groups.Results The effective cooling rate in the study group(96.77%)was significantly higher than that in the control group(19.35%),with statistically significant differences(P<0.05).Before nursing,there was no statistically significant difference in neurological function scores between the two groups(P>0.05).After nursing,the neurological function scores in the study group were lower than those in the control group,with statistically significant differences(P<0.05).Before nursing,there was no statistically significant difference in Glasgow Coma Scale(GCS)scores between the two groups(P>0.05).At 1 month,2 months,and 3 months after nursing,the Glasgow Coma Scale scores in the study group were significantly higher than those in the control group,with statistically significant differences(P<0.05).Before nursing,there was no statistically significant difference in changes in intracranial pressure between the two groups(P>0.05).After nursing,the intracranial pressure values in the study group at 3 hours during induction,9 hours during maintenance,and 22 hours during rewarming were lower than those in the control group,with statistically significant differences(P<0.05).Conclusion Hypothermia therapy combined with nursing intervention plays an important role in critically ill patients with high fever in the ICU.It can effectively improve the cooling effect,reduce intracranial pressure,alleviate cerebral edema,and increase survival rates,making it worthy of application.

intensive care unitcritically ill patients with high feverhypothermia therapynursing intervention

王真真、范晶丽、李翔

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河南省人民医院 神经外科ICU,河南省护理重点实验室,郑州大学人民医院,河南 郑州 450000

重症监护病房 危重症高热患者 亚低温治疗 护理干预

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(10)