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鍒嗘瀽鍐版浣跨敤瀵圭缁忓绉戦珮鐑偅鑰呯毊鑲ょ殑褰卞搷鏁堟灉

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銆€鎽樿锛氱洰鐨勶細鍒嗘瀽鍐版浣跨敤瀵圭缁忓绉戦珮鐑偅鑰呯毊鑲ょ殑褰卞搷鏁堟灉銆傛柟娉曪細閫夊彇鏈櫌2017骞?鏈垀2018骞?鏈堟敹娌荤殑60渚嬬缁忓绉戦珮鐑偅鑰呬负鐮旂┒瀵硅薄锛屽皢鍏跺熀浜庝笉鍚岀殑鍐版浣跨敤鏂瑰紡鍒嗕负瀵圭収缁勫拰璇曢獙缁勶紝姣忕粍30渚嬶紝瀵圭収缁勬偅鑰呴噰鐢ㄥ父瑙勫啺姣紝璇曢獙缁勬偅鑰呭湪鍐版甯歌浣跨敤鐨勫熀纭€涓婏紝娉ㄩ噸瀵圭毊鑲ょ殑淇濇姢锛岃瀵熶袱缁勭缁忓绉戦珮鐑偅鑰呯殑鐨偆涓嶈壇鍙嶅簲鎯呭喌銆傜粨鏋滐細瀵圭収缁勬偅鑰呮湁3渚嬪彂鐢熷瘨棰ょ幇璞★紝鏈?渚嬪彂鐢熻交搴﹀け绂佹€х毊鐐庯紝鎬讳笉鑹弽搴斿彂鐢熺巼涓?6.67%锛?/30锛夛紝璇曢獙缁勬偅鑰呮棤鐨偆涓嶈壇鍙嶅簲鍙戠敓锛屾€讳笉鑹弽搴斿彂鐢熺巼涓?.00%锛?/30锛夛紝宸紓鍏锋湁缁熻瀛︽剰涔夛紙P<0.05锛夈€傜粨璁猴細瀵逛娇鐢ㄥ啺姣繘琛屾不鐤楃殑绁炵粡澶栫楂樼儹鎮h€呭簲鐢ㄧ簿缁嗗寲澶勭悊鎺柦鍙互鏈夋晥闃叉鐨偆涓嶈壇鍙嶅簲鐨勫彂鐢熴€?/span>

鍒嗘瀽鍐版浣跨敤瀵圭缁忓绉戦珮鐑偅鑰呯毊鑲ょ殑褰卞搷鏁堟灉

銆€銆€鍏抽敭璇嶏細鍐版锛?绁炵粡澶栫锛?楂樼儹鎮h€咃紱 鐨偆涓嶈壇鍙嶅簲锛?/span>

銆€銆€Abstract:

銆€銆€Objective: To analyze the effect of ice blanket use on the skin of patients with neurosurgical hyperthermia. Methods: Sixty patients with neurosurgical hyperthermia admitted to our hospital from April 2017 to August 2018 were enrolled in the study. They were divided into control group and experimental group based on different methods of using ice blankets, 30 cases in each group. The patients were treated with conventional ice blankets. The patients in the experimental group paid attention to the protection of the skin on the basis of the routine use of the ice blankets, and observed the adverse skin reactions of the two groups of neurosurgical hyperthermia patients. Results: There were 3 cases of chills in the control group and 2 cases of mild incontinence dermatitis. The incidence of total adverse reactions was 16.67%锛?/30锛夈€?No adverse skin reactions occurred in the test group, and the incidence of total adverse reactions occurred. The difference was statistically significant锛圥<0.05锛?for 0.00%锛?/30锛夈€?Conclusion: The application of refined treatment measures in neurosurgical hyperthermia patients treated with ice blankets can effectively prevent skin adverse reactions.

銆€銆€Keyword:

銆€銆€ice blanket; neurosurgery; hyperthermia; skin adverse reactions;
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銆€銆€1. 璧勬枡涓庢柟娉?/span>

銆€銆€1.1 涓村簥璧勬枡

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銆€銆€1.2 鏂规硶

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銆€銆€3.璁ㄨ

銆€銆€鍐版鐨勪娇鐢ㄥ浜庣缁忓绉戦珮鐑偅鑰呯殑浣撴俯鎺у埗鍏锋湁閲嶈浣滅敤锛屼絾鏄湪鍐版浣跨敤杩囩▼涓紝鎮h€呯毊鑲ゅ鏄撳彂鐢熶竴浜涗笉鑹弽搴旓紝闇€瑕佸紩璧烽噸瑙嗐€傛湰鏂囬€夊彇鏈櫌绁炵粡澶栫楂樼儹鎮h€呬负鐮旂┒瀵硅薄锛屽潎閲囩敤鍐版杩涜闄嶆俯澶勭悊锛屽熀浜庝娇鐢ㄦ柟寮忕殑涓嶅悓灏嗗叾鍒嗕负瀵圭収缁勫拰璇曢獙缁勶紝璇曢獙缁勬偅鑰呭湪瀵圭収缁勬偅鑰呮姢鐞嗙殑鍩虹涓婂姞寮虹毊鑲や繚鎶ゃ€傜粨鏋滄樉绀鸿瘯楠岀粍鎮h€呯殑鐨偆涓嶈壇鍙嶅簲鍙戠敓鐜囦负0.00%锛?/30锛夛紝鏄庢樉浼樹簬瀵圭収缁勬偅鑰呯殑16.67%锛?/30锛夛紝宸紓鍏锋湁缁熻瀛︽剰涔夈€傝繖琛ㄦ槑瀵逛娇鐢ㄥ啺姣繘琛屾不鐤楃殑绁炵粡澶栫楂樼儹鎮h€呭姞寮虹毊鑲ゅ鐞嗘帾鏂藉彲浠ユ湁鏁堥槻姝㈢毊鑲や笉鑹弽搴旂殑鍙戠敓銆?/span>

銆€銆€鍙傝€冩枃鐚?br /> 銆€銆€[1]鏉庢稕锛岃4鏅ㄥ崏锛屾鎴樺崕銆傝剳娣遍儴鐢靛埡婵€鏈浉鍏崇殑甯曢噾妫?楂樼儹缁煎悎寰佺殑鐮旂┒杩涘睍[J].涓崕绁炵粡澶栫鏉傚織锛?018,34锛?锛夛細318.
銆€銆€[2]璐轰附锛屽紶浜氫附锛屾浌涔﹀锛岀瓑銆傚績鑲鸿剳澶嶈嫃鎮h€呴噰鐢ㄧ粍鍚堝紡闄嶆俯鎶€鏈鑴戜繚鎶ょ殑鍙鎬х爺绌禰J].涓浗瀹炵敤绁炵粡鐤剧梾鏉傚織锛?017,20锛?锛夛細30-32.
銆€銆€[3]閭撶礌杞╋紝闄嗛潚姊咃紝绉﹀€╋紝绛夈€備簹浣庢俯娌荤枟浠湪閲嶅瀷棰呰剳鎹熶激鎵嬫湳鍚庝腑鏋㈡€ч珮鐑偅鑰呬腑鐨勪綔鐢╗J].涓浗褰撲唬鍖昏嵂锛?017,24锛?锛夛細189-191.
銆€銆€[4]闄堢锛岄棲鐢诧紝寰愭収濞燂紝绛夈€傜墿鐞嗛檷娓╁绁炵粡澶栫閲嶇棁鐩戞姢鐥呮埧鍙戠儹鎮h€呰娴佸姩鍔涘鍙傛暟鐨勫奖鍝峓J].瀹炵敤涓村簥鎶ょ悊瀛︾數瀛愭潅蹇楋紝2017,2锛?9锛夛細12-14.
銆€銆€[5]鐜嬪崕锛屾潕娉紝鑲栬摀銆傜數瀛愬啺姣満鍦ㄨ偪鐦ら珮鐑腑鐨勫簲鐢╗J].涓浗鍐滄潙鍗敓锛?017,10锛?锛夛細50-51.
銆€銆€[6]闄堜附锛岄儹绱犳銆傞檷娓╂涓嶅悓棰勮娓╁害鍦≒ICU楂樼儹鎮e効涓簲鐢ㄦ晥鏋滆瀵焄J].涓浗鍗敓鏍囧噯绠$悊锛?017,8锛?锛夛細139-141.
銆€銆€[7]钂嬪獩濯涖€傜患鍚堟姢鐞嗚仈鍚堝啺姣笌鍐板附骞查鍦ㄤ腑鏋㈡€ч珮鐑偅鑰呮姢鐞嗕腑鐨勫簲鐢ㄦ晥鏋淸J].鍖荤枟瑁呭锛?018,31锛?锛夛細134-135.
銆€銆€[8]楗舵仌锛岄偙娣戣悕锛岀敯鐝娿€傚尰鐢ㄥ弻娓╁弻鎺х數瀛愰檷娓╁浠跺湪閲嶅瀷棰呰剳鎹熶激鎮h€呬腑鐨勫簲鐢╗J].鍥介檯鎶ょ悊瀛︽潅蹇楋紝2017,36锛?锛夛細707-711.
銆€銆€[9]寮犳鐟炪€傚啺姣満鍔犺嵂鐗╅檷娓╁涓灑鎬ч珮鐑偅鑰呯殑鏁堟灉瑙傚療[J].涓浗瀹炵敤绁炵粡鐤剧梾鏉傚織锛?016,19锛?2锛夛細85-86.
銆€銆€[10] 缃楁瀹广€傚啺姣娇鐢ㄥ绁炵粡澶栫楂樼儹鎮h€呯毊鑲ょ殑褰卞搷[J].鍖诲淇℃伅锛?016,29锛?7锛夛細395.

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