Effect of clustered warming intervention on spontaneous hypothermia and coagulation function in patients with emergency trauma
10.3760/cma.j.issn.1672-7088.2020.04.012
- VernacularTitle: 集束化保温干预对急诊创伤患者自发性低体温发生情况及凝血功能的影响
- Author:
Liyan ZHANG
1
;
Ailan FU
2
;
Huifang HAN
1
;
Wen XUE
1
Author Information
1. Department of Emergency, Changzhou Second People′s Hospital, Changzhou 213100, China
2. Department of Emergency, Yanghu Branch, Changzhou Second People′s Hospital, Changzhou 213100, China
- Publication Type:Clinical Trail
- Keywords:
Emergency trauma;
Clustered warming intervention;
Spontaneous hypothermia;
Coagulation;
Prognosis
- From:
Chinese Journal of Practical Nursing
2020;36(4):293-297
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effects of clustered warming intervention on spontaneous hypothermia and coagulation function in patients with emergency trauma.
Methods:A total of 118 cases of emergency trauma patients admitted from January 2017 to December 2018 in Changzhou Second People′s Hospital were selected as subjects. According to the time of admission, there were 62 cases in the control group from January 2017 to December 2017 and 56 cases in the treatment group from January 2018 to December 2018. The control group used routine emergency nursing intervention and warming measures, and the treatment group combined with clustered warming intervention. The changes of body temperature, coagulation function, spontaneous hypothermia and prognosis were compared between the two groups.
Results:When entering the Emergency Department and entering the Emergency Department for 60 minutes, the body temperature of the emergency trauma patients in the treatment group were (36.41±0.75) and (36.74±0.65)℃, and the control group were (35.42±0.80) and (35.54±0.76)℃. The difference between the two groups was statistically significant (t value was 6.914, 9.168, P<0.01). After entering the Emergency Department for 60 minutes, the activated partial thromboplastin time, prothrombin time, and thrombin time in the treatment group were (35.24±2.25), (13.56±1.02), (17.45±1.52) s, and the control group was (39.45±3.42), (15.12±1.34), (19.20±1.23) s. The difference between the two groups was statistically significant (t value was 7.802, 7.058, 6093, P<0.01). The incidence of spontaneous hypothermia and duration of hypothermia in the treatment group were 16.07%(9/56), (7.32±1.14) h, and that in the control group was 41.94%(26/62) and (18.42±3.20) h. The difference between the two groups was statistically significant (χ2 value was 9.432, t value was 24.579, P<0.01). The incidence of chills, infection and death in the observation group was 16.07%(9/56), 7.14%(4/56), and 5.36%(3/56), and that in the control group was 51.61%(32/62), 24.19%(15/62), and 17.74%(11/62). The difference between the two groups was statistically significant (χ2 value was 16.393, 6.322, 4.316, P< 0.05 or 0.01).
Conclusions:Clustered warming intervention can help prevent the risk of spontaneous hypothermia in emergency trauma patients, antagonize coagulation dysfunction and improve patient prognosis.
