Application research of physical cooling in fever patients after bone fracture surgery
10.3760/cma.j.issn.1672-7088.2013.18.004
- VernacularTitle:物理降温在骨折术后发热患者中应用的系统研究
- Author:
Chunling WANG
;
Ru DU
;
Junfeng LI
;
Linfang BAI
;
Jianzhi ZHANG
;
Yan ZHAO
- Publication Type:Journal Article
- Keywords:
Bone fracture;
Post-operation;
Fever;
Physical cooling
- From:
Chinese Journal of Practical Nursing
2013;(18):11-13
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects and indications of physical cooling in fever patients after bone fracture surgery.Methods 450 fever patients after bone fracture surgery were selected.They were divided into different groups according to ~e main influencing factors which affected the effect of physical cooling,including the temperature of sponge bathing,the degree of fever,clinical phases of fever.The influence of above factors on physical cooling was observed.Results The temperature for sponge bathing maintaining at 38～40 ℃(the experimental group) achieved better results than that at 32～34 ℃(the control group).Physical cooling at constant peak period of fever had better effect than that during the fervescence period,and the effect of sponge bathing treatment was better in mild fever patients than in high fever patients.Conclusions The single physical hypothermia only fit the patients following bone fracture surgery who had a fever below 38.5 ℃.Patients who had an infectious high fever should receive drug combination.Temperature of sponge bathing maintaining at 38～40 ℃,bathing timing at constant peak period of fever may get best cooling effect.
