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目的探讨温度控制对大面积烧伤休克期患者创面涂药效果的影响。方法将72例大面积烧伤患者按入院先后分成观察组(36例)和对照组(36例)。观察组患者在大面积烧伤休克期创面涂药进行温度控制(即用药加温、躯体保温),通过对患者躯体保温、创面用药加温等方法分次完成涂药;对照组创面涂药按常规进行。观察两组患者涂药前后的心率、体温变化,寒颤、肢端湿冷的发生率。结果对照组患者涂药后体温明显低于涂药前,心率明显快于涂药前,观察组患者涂药后的心率、体温变化以及寒颤、肢端湿冷发生率明显低于对照组患者,两者差异有统计学意义(P<0.01)。结论对大面积烧伤休克期患者创面涂药时进行温度控制,对患者的体温、心率、末稍循环影响小,患者能较平稳度过休克期。
Objective To investigate the effect of temperature control on wound dressing in patients with extensive burn shock. Methods Seventy-two patients with extensive burn were divided into observation group (36 cases) and control group (36 cases). Patients in the observation group were treated with wound dressing on a large area of burn shock during temperature control (ie, warming medication and soaking the body) get on. Heart rate, body temperature changes, shivering, acromegaly were observed before and after treatment in both groups. Results The body temperature of the control group was significantly lower than that of the control group before application and the heart rate was significantly faster than that of the control group. The heart rate, body temperature and the chills and ache in the observation group were significantly lower than those in the control group The difference was statistically significant (P <0.01). Conclusion Temperature control during wound dressing in patients with extensive burn shock stage has little effect on body temperature, heart rate and end circulation, and patients can pass the shock period more smoothly.