| 王剑,陈贞,周董,曹杏玲.测温导尿管在老年患者连续性肾脏替代治疗中的应用与分析[J].上海护理,2025,25(4): |
| 测温导尿管在老年患者连续性肾脏替代治疗中的应用与分析 |
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| 投稿时间：2024-04-19 修订日期：2025-04-06 |
| DOI： |
| 中文关键词: 连续性肾脏替代治疗 测温导尿管 膀胱温 低体温 |
| 英文关键词: |
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| 中文摘要: |
| 摘要：目的 探讨测温导尿管测膀胱温度在老年患者连续肾脏替代治疗（CRRT）中的临床意义，寻找便捷实时的监测连续性肾脏替代治疗时体温的方法，减少因连续肾脏替代治疗引发的低体温的发生。方法 选取2023年1月至2023年11月复旦大学附属华东医院重症监护室收治的60例老年外科手术后需行CRRT治疗的患者作为研究对象。采用信封法将患者分为测温导尿管组和红外线耳温组。两组均由床位医生根据患者实际情况提供合理参数。测温导尿管组将患者置入测温导尿管，通过膀胱温对体温进行监测，红外线耳温组用红外线进行体温监测，两组均用Prismaflex 型号机器进行CRRT治疗，常规加热方式为机型自带的血液加热器对回输段进行加热，加热温度为42℃。患者体温持续监测，当患者体温低于36℃定义为低体温发生。比较两组患者低体温的发生率及发生时间。结果 最终纳入研究的60例患者中，发生低体温的为21例，其中测温导尿管组低体温发生率（10%）明显低于红外线耳温组（60%）（P＜0.05）。结论 测温导尿管测量膀胱温可以更加动态监测体温的变化，及时进行体温的复温，减少低体温的发生。 |
| 英文摘要: |
| Abstract: Objective To investigate the clinical significance of bladder temperature measurement with a thermometric urinary catheter in continuous renal replacement therapy (CRRT) in elderly patients, and to find a convenient and real-time method to monitor body temperature during continuous renal replacement therapy, so as to reduce the occurrence of hypothermia caused by continuous renal replacement therapy. Methods From January 2023 to November 2023, 60 patients who were admitted to the intensive care unit of East China Hospital, Fudan University, who underwent CRRT after surgery, were enrolled as the study subjects. The envelope method was used to divide the patients into the temperature catheter group and the infrared ear temperature group. In both groups, reasonable parameters were provided by the bed doctor according to the actual situation of the patient. The temperature measurement urinary catheter group replaced the patient's ordinary urinary catheter with a temperature measurement urinary catheter, and the body temperature was monitored by bladder temperature, and the infrared ear temperature group was monitored by infrared rays, and both groups were treated with CRRT with Prismaflex machine, and the conventional heating method was the blood heater that came with the model to heat the reinfusion section, and the heating temperature was 42 °C. The patient's temperature is continuously monitored, and hypothermia occurs when the patient's body temperature falls below 36°C. The incidence and time of hypothermia were compared between the two groups. Results Among the 60 patients included in the study, 25 had hypothermia, and the incidence of hypothermia in the thermometric urinary catheter group (23%) was significantly lower than that in the infrared ear temperature group (60%) (P<0.05). Conclusion The measurement of bladder temperature by thermometric urinary catheter can monitor the changes of body temperature more dynamically, rewarm body temperature in time, and reduce the occurrence of hypothermia |
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