重症肺炎持续发热患者冰沙混合冷敷物理降温法临床应用的效果观察

摘要

Objective:Explore the ice sand mixed cold physical cooling method was applied to the clinical effect of ICU patients with severe pneumonia persistent fever.Methods:Choose our intensive medicine ICU patients with severe pneumonia persis-tent fever,41 cases were randomly divided into control group (n=19)and observation group (n=22),two groups of patients with clinical treatments are the same,the control group given conventional physical cooling method (wipe bath and cool paste application),the observation group was given ice sand mixed cold care physical cooling method,compared two groups of cool-ing effect,adverse reaction and daily physical cooling costs.Results:Under the same treatment,two groups of patients with body temperature down to the same level,the average time needed for observation group significantly lower than the control group;The incidence of adverse reactions in the process of physical cooling observation group was obviously lower than the control group;Physical cooling material cost observation group was obviously lower than the control group,the above differ-ences have statistical significance (P > 0.05).Conclusion:Ice sand mixed cold physical cooling method applied in ICU patients with severe pneumonia persistent fever,clinical effect is remarkable,the operation is simple,economical and practical.%目的：探讨冰沙混合冷敷物理降温法应用于 ICU 重症肺炎持续发热患者的临床效果。方法：选取我院重症医学科 ICU重症肺炎持续发热患者41例，随机分为对照组（n＝19）和观察组（n＝22），两组患者临床治疗方案相同，对照组给予传统物理降温法（擦浴法和降温贴应用），观察组给予冰沙混合冷敷护理物理降温法，对比两组降温效果、不良反应及物理降温日均费用。结果：在相同治疗方案下，两组患者体温降至同一水平所需平均时间，观察组明显低于对照组；观察组物理降温过程中不良反应发生率明显低于对照组；观察组物理降温材料成本费明显低于对照组，以上差异均有统计学意义（P ＞0．05）。结论：冰沙混合冷敷物理降温法应用于 ICU 重症肺炎持续发热患者，临床效果显著，操作简便，经济实用。