【摘要】 目的比较不同冰敷介质冰袋、生物冰袋对颅脑损伤高热患者降温的效果。方法将神经外科重症监护室的100例颅脑损伤高热需使用物理降温的患者随机分为5组,每组20例。各组分别用清水、10%盐水、25%乙醇、10%芒硝、生物冰袋冷敷,护士采用标准化的降温程序为患者降温。记录冷敷不同时间点各组患者的腋温及冰袋更换例次数。结果时间因素对各组体温变化有显著影响(P<0.05)。降温过程中,生物冰袋组更换例数最多,25%乙醇组更换例数最少(P<0.05)。结论 5种介质冰袋冰敷对颅脑损伤高热患者均能达到持续降温的效果。25%乙醇冰袋用冷180 min时降温幅度高于其他组,更换次数少,建议冷疗患者优先使用。更多还原

【Abstract】 Objective To compare the cooling effects of ice packs with different media and biological ice packs on high-fever patients after cranio-cerebral injury.Methods Totally 100 ICU high-fever patients requiring physical cooling after cranio-cerebral injury in neurosurgery department were randomized into 5 groups, with 20 patients in each group. Each group received cold compress using ice packs with water, 10% saline solution, 25% ethanol, 10% glauber′s salt and biological ice packs respectively, and standard cooling procedures were adopted by nurses for the patients.The axillary temperature of each group at different time points and the replacement frequency of ice pack were recorded.Results The time effect was significant in temperature change for each group(P<0.05).During the cooling process, the group compressed with biological ice pack replaced ice packs the most, while the group compressed with 25% ethanol replaced ice packs the least(P<0.05).Conclusion Cold compress using ice packs with the 5 diffe-rent media can afford continuous cooling for high-fever patients after cranio-cerebral injury. After 180 minutes cooling, 25% ethanol ice pack exhibits superior cooling efficiency over other groups, and less replacement is required, thus it has the priority for cold therapy.更多还原