Prevention and intervention of hypothermia in critically ill ICU patients undergoing CRRT treatment
ICU危重患者CRRT治疗过程中低体温的预防与干预

摘要

目的 探讨ICU危重患者进行CRRT治疗过程中低体温的预防与干预。方法 收集2023年1月-2023年12月期间进行CRRT治疗的50名ICU危重患者资料，作为对照组（n=50例，常规护理）。再收集2024年1月-2024年12月期间的50例同类患者资料，作为观察组（n=50例，综合保温护理）。对比两组患者治疗2h、4h、6h、8h的体温，寒战、低体温情况，治疗时间及非计划下机率、满意度、治疗效果。结果 观察组治疗2h、4h、6h、8h后的体温、治疗时间、满意度及治疗效果明显优于对照组，出现寒战、低体温的人数及非计划下机率明显更少，差异均有统计学意义（P＜0.05）。结论 对进行CRRT治疗的ICU患者采取具有针对性的低体温预防及干预措施，能够取得较好的保温效果、有效降低患者在治疗过程中出现寒战、低体温的情况、延长治疗时间、降低非计划下机率、并提升治疗效果及满意度。

Abstract

Objective Exploring the prevention and intervention of hypothermia in critically ill ICU patients undergoing CRRT treatment.
Methods Data of 50 critically ill ICU patients who underwent CRRT treatment from January 2023 to December 2023 were collected as the control group (n=50, receiving routine care). Collect data from 50 similar patients between January 2024 and December 2024 as the observation group (n=50, receiving comprehensive insulation care). Compare the body temperature, shivering, and hypothermia of two groups of patients treated for 2 hours, 4 hours, 6 hours, and 8 hours, as well as the treatment time, unplanned probability, satisfaction, and treatment effect.
Results The temperature, treatment time, satisfaction, and treatment effect of the observation group were significantly better than those of the control group after 2 hours, 4 hours, 6 hours, and 8 hours of treatment. The number of people experiencing chills and hypothermia, as well as the unplanned probability, were significantly fewer, and the differences were statistically significant (P<0.05).
Conclusion   Targeted hypothermia prevention and intervention measures for ICU patients undergoing CRRT treatment can achieve good insulation effects, effectively reduce patients' shivering and hypothermia during treatment, prolong treatment time, reduce unplanned rates, and improve treatment efficacy and satisfaction.