创伤性休克患者术中术后矫正低体温的护理对策-当代护理-CSCIED科技核心评价数据库-手机版

创伤性休克患者术中术后矫正低体温的护理对策

Nursing measures for intraoperative postoperative correction of hypothermia in patients with traumatic shock

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DOI	10.12208/j.cn.20210126
刊名	当代护理 Contemporary Nursing
年，卷(期)	2021, 2(6)
作者	苏晓丽*,赵江宁,黄伟,雒娜,
作者单位	陕西省人民医院陕西西安 ;
摘要	讨论研究在创伤性休克患者术中术后中开展低体温干预护理工作的价值作用。方法将2021年1月到2021年6月期间院内的68例创伤性休克患者纳入研究范围，利用随机分配法划分为对照组（接受常规基础护理）、观察组（接受常规基础护理、低体温干预护理工作），对比术前、术中、术后2h两组患者肛温变化情况、凝血酶原时间、部分凝血活酶时间、凝血酶时间、休克指数变化情况。结果术前未接受护理前两组患者肛温变化情况、凝血酶原时间、部分凝血活酶时间、凝血酶时间、休克指数等各项数据信息之间无显著差异（P>0.05），接受护理工作后，观察组术中及术后2h肛温变化情况、凝血酶原时间、部分凝血活酶时间、凝血酶时间、休克指数等数据信息均明显比对照组更具优势，P<0.05，有统计学差异。结论在创伤性休克患者术中术后中开展低体温干预护理工作可帮助患者将体温维持在合理范围，降低凝血指标异常风险，改善休克指标。
Abstract	Objective: To discuss and study the value of hypothermia intervention nursing in patients with traumatic shock during and after operation. Methods: 68 patients with traumatic shock in hospital from January 2021 to June 2021 were included in the study. They were randomly divided into control group (receiving routine basic nursing) and observation group (receiving routine basic nursing and hypothermia intervention nursing). The changes of Anal temperature, prothrombin time, partial thromboplastin time, thrombin time Changes of shock index. Results: there was no significant difference between the two groups in Anal temperature changes, prothrombin time, partial thromboplastin time, thrombin time, shock index and other data information before the operation without receiving nursing care (p>0.05). After receiving nursing care, the observation group had significantly more advantages in Anal temperature changes, prothrombin time, partial thromboplastin time, thrombin time, shock index and other data information during and 2h after the operation than the control group, P<0.05, with statistical difference. Conclusion: Hypothermia intervention nursing in patients with traumatic shock during and after operation can help patients maintain their body temperature within a reasonable range, reduce the risk of abnormal coagulation indicators, and improve shock indicators.
关键词	创伤性休克；术中术后；低体温干预护理
KeyWord	Traumatic Shock; Intraoperative and Postoperative; Hypothermia Intervention Nursing
基金项目
页码	56-59

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[1] 金清河,颜雷雷,黄秀. 多模式复温管理对创伤失血性休克患者应用效果评价[J]. 中国医院统计,2020,27 (6): 537-540.

[2] 李旭锋. 急诊创伤后自发性低体温发生因素分析与干预措施探讨[J]. 中国伤残医学,2020,28(5):19-20.

[3] 詹阳君. 创伤后自发性低体温急救处理现状与临床问题的研究进展[J]. 家庭医药.就医选药,2020，6(9): 385-386.

[4] 刘云,胡海洋,周博,等. 低体温对创伤失血性休克病人的影响[J]. 护理研究,2015，10(3):341-342.

[5] 谢健. 创伤性休克患者术中综合低体温干预的效果观察[J]. 护理实践与研究,2016,13(11):89-90,91.

[6] 彭罗根,吴若,赵会民. 浅低温对创伤性失血性休克兔凝血功能的影响[J]. 中国急救医学,2015，2(8):726-729.

[7] 张建彬. 纠正亚低温配合限制性液体复苏对腹部创伤伴失血性休克患者凝血功能的影响[J]. 临床医药实践,2020,29(11):824-827.

[8] 王芳,王秋. 围手术期保温干预对急性创伤患者低体温发生率及预后的影响[J]. 武警后勤学院学报（医学版）, 2019, 28(7):38-41.

引用本文

苏晓丽*,赵江宁,黄伟,雒娜. 创伤性休克患者术中术后矫正低体温的护理对策 [J]. 当代护理. 2021; 2; (6). 56 - 59.

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