不同体温干预方法在老年急性肾衰竭患者连续性血液净化治疗中应用.docVIP

不同体温干预方法在老年急性肾衰竭患者连续性血液净化治疗中的应用 　　[摘要]目的 探?两种不同体温干预方法在预防老年急性肾衰竭患者连续性血液净化（CBP）治疗中低体温的效果。方法 选取2017年1～12月在我院收治的急性肾衰竭并行CBP治疗的老年患者76例采用随机数字表法将其分为对照组、观察组，每组38例。对照组采用常规护理方法，棉被覆盖法进行保温处理；观察组在CBP治疗开始时应用充气升温毯保温；记录两组患者CBP治疗开始后1、2、4、8、12 h的心率、平均动脉压、直肠温度以及CBP治疗过程中低体温的发生情况。结果 观察组患者CBP治疗开始后1、2、4、8、12 h的心率和平均动脉压与对照组比较，差异无统计学意义（P0.05）；两组患者CBP治疗开始后2、4、8、12 h的心率和平均动脉压与本组治疗后1 h的比较，差异无统计学意义（P0.05）；观察组患者 CBP治疗开始后1、2、4、8、12 h直肠温度高于对照组，差异有统计学意义（P0.05），观察组治疗后4 h、8 h、12 h的低体温发生率与对照组比较，差异有统计学意义（P0.05）。结论 在CBP治疗过程中应用充气升温毯保温是一种有效的体温干预方法，能够降低低体温的发生率。 　　[关键词]充气升温毯；低体温；急性肾衰竭；连续性血液净化 　　[中图分类号] R692.5 [文献标识码] A [文章编号] 1674-4721（2018）3（a）-0178-04 　　Application of different temperature intervention methods in continuous blood purification for eldly patients with acute renal failure 　　WANGLi-li1，3 LIU Li2▲ MENG Kun3 　　1.Binzhou Medical University School of Nursing，Shandong Province，Binzhou 256603，China；2.Department of Nursing，Binzhou Medical University Hospital，Shandong Province，Binzhou 256603，China；3.Intensive Care Unit，Binzhou Medical University Hospital， Shandong Province， Binzhou 256603，China 　　[Abstract]Objective To explore the effect of two different body temperature interventions on the prevention of hypothermia during CBP treatment in elderly patients with renal failure.Methods Seventy-six elderly patients with acute renal failure treated with CBP in our hospital from January to December 2017 were randomly divided into control group and observation group with 38 cases in each group.The control group was treated with conventional nursing method and quilt covering method.At the beginning of CBP treatment， the observation group was treated with inflation heating blanket.The heart rate，mean arterial pressure， rectal temperature and hypothermia during CBP treatment were recorded at 1，2，4，8 h and 12 h after CBP treatment.Results There was no significant difference in heart rate and mean arterial pressure between the observation group and the control group at 1，2，4，8 h and 12 h after CBP treatm