急诊创伤后自发性低体温发生情况及其影响因素的调查研究

发布时间：2018-08-13 16:51

【摘要】：目的调查5所医院急诊创伤患者自发性低体温的影响因素。方法选择2015年11月—2016年5月江苏省5所三级甲等医院急诊抢救室的203例创伤患者进行调查。结果 203例创伤患者中有82例并发低体温,发生率为40%。Logistic回归结果显示,创伤严重程度、救护车到达时患者的状态、患者在救护车转运时有无使用保暖用具为创伤后自发性低体温发生的影响因素。结论急诊创伤后自发性低体温发生率高,且受多方面因素的影响,建议救护人员院前急救时应重点评估创伤严重程度、注意救护车到达时患者的状态,且救护车转运时患者应该使用保暖用具。医护人员应针对危险因素,采取预见性复温护理,以减少创伤患者低体温的发生。
[Abstract]:Objective to investigate the influencing factors of spontaneous hypothermia in emergency trauma patients in 5 hospitals. Methods 203 trauma patients in emergency department of 5 Grade 3A hospitals in Jiangsu Province from November 2015 to May 2016 were investigated. Results 82 of the 203 trauma patients were complicated with hypothermia. The incidence rate was 40%.Logistic regression. The severity of the trauma and the condition of the patients when the ambulance arrived. The use of thermal appliances in ambulances was a risk factor for spontaneous hypothermia after trauma. Conclusion the incidence of spontaneous hypothermia after emergency trauma is high and affected by many factors. It is suggested that ambulancemen should evaluate the severity of trauma and pay attention to the condition of the patients when the ambulance arrives. And when ambulances are transported, patients should use heating appliances. Doctors and nurses should take predictive rewarming nursing to reduce hypothermia in patients with trauma.
【作者单位】：贵阳中医学院;南京军区南京总医院急诊科;南京军区南京总医院卫生技术干部训练中心;镇江市第一人民医院急诊科;徐州医科大学附属医院急诊科;徐州市中心医院急诊科;苏州大学附属第一医院急诊科;南京大学医学院;
【基金】：南京军区医药卫生科研基金课题(12MA088) 江苏省普通高校专业学位研究生实践创新计划项目(SJLX16_0020)
【分类号】：R473.6

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