| Objective:1.To explore the influence of preventive warm infusion on physiological indicators of emergency trauma patients,including body temperature,blood coagulation indexs and acid-base indexs.2.To explore the effect of preventive warm infusion on the prognosis of emergency trauma patients,including the incidence of chills,infection and deep venous thrombosis.Methods:Objective to select a sample of 84 trauma patients admitted to the emergency department of a Grade ? A hospital from May 2018 to December 2018 as research objects,and randomly divide them into control group and observation group,with 42 patients in each group.The control group was given routine nursing measures,including appropriate room temperature,keeping the body dry,reducing body exposure,ECG monitoring,and liquid infusion at room temperature.Observation group patients in addition to routine nursing measures to increase the preventive warm infusion.General information and physiological indexes of the patients were collected and body temperatures of the two groups were compared immediately after admission,1h,12 h,24h,48 h after admission;Blood coagulation index and acid-base index were observed immediately after admission,24 h and 48 h after admission.The prognosis,incidence of chills,infection and deep venous thrombosis were compared between the two groups.Statistical software SPSS20.0 was used for statistical analysis,including t test,chi-square test,rank sum test and repeated measurement analysis of variance.Results:All the 84 subjects completed data collection,and there was no significant difference between general data and immediate vital signs(P>0.05).1.The results of anova of repeated measurement of the body temperature of the two groups before and after the intervention showed that the body temperature of the two groups showed a downward trend after admission,and the decrease of the control group was more significant than that of the observation group,and there was an interaction between the group and time(P<0.05).The results of separate effect test of grouping factors showed that the difference in body temperature between the two groups was not statistically significant immediately after admission and 1h after admission(P>0.05),while the difference in body temperature between the two groups at 12 h,24h and 48 h after admission was statistically significant(P<0.001).The test results of the individual effect of time factor showed that the individual effect of time factor on the body temperature of the patients in the observation group had no statistical significance(P>0.05),while the individual effect of time factor on the patients in the control group had statistical significance(P<0.05).Compare the temperature of patients of the control group in pairs,the result shows: the control group patients admitted to hospital immediately,respectively,and 1 h after admission,12 h,24 h,48 h temperature comparative differences are statistically significant(P < 0.05),1 h after admission and 48 h after admission temperature to compare differences statistically significant(P<0.05),12 h after admission and 48 h after admission temperature values to compare differences statistically significant(P<0.05).2.Repeated measurement anova was performed at each time point of the blood coagulation indexes before and after the intervention in the two groups,and the results showed that there was an interaction between time and group of the PT and APTT values of the coagulation indicators in the two groups(P<0.05).The results of separate effect analysis by groups showed that: PT and APTT values of patients in the two groups showed no statistical significance immediately after admission and 24 h after admission(P>0.05),while the difference was statistically significant 48 h after admission(P<0.05).The results of individual effect analysis of time showed that the individual effect of time factor on the PT and APTT values of patients in the observation group had no statistical significance(P>0.05).PT and APTT values in patients with the control value,the influence of the difference was statistically significant(P<0.05),compare them in pairs,PT values results showed patients admitted to hospital immediately and 24 h,48 h after admission respectively to compare difference was statistically significant(P<0.05),24 h and 48 h after admission to compare differences no statistical significance(P>0.05),the patient APTT values immediate admission to hospital,24 h,48 h after admission respectively two comparative differences are statistically significant(P<0.05).Two groups of patients with blood coagulation index FIB values,and there is no interaction between group and time(P>0.05),the main effect analysis,the result shows: the grouping FIB value main effect factors on patients with no statistical significance(P>0.05),the time factor to FIB values in patients with primary effect was statistically significant(P<0.05),compared two respectively,the results showed that patients admitted to hospital immediately,24 h after admission,48 h FIB values each time point two comparative differences are statistically significant(P<0.001).The results of comparison of blood coagulation index mean at each time point before and after intervention between the two groups showed that there was no statistically significant difference between the two groups immediately after admission and 24 h after admission(P>0.05).At 48 h after admission,PT and FIB values of the two groups showed no significant difference(P>0.05),and only APTT values showed significant difference(P<0.05).3.Comparison of acid-base indexes between the two groups after admission.Repeated measurement anova of acid-base index at each time point before and after the intervention showed that there was no interaction between the group and time of the two groups of patients' acid-base index(P>0.05),and the main effect analysis showed that there was no statistically significant difference between the group factors in the main effect of pH value and lactic acid value(P>0.05).The main effect of time factor on the pH value and lactic acid value of the patients was statistically significant(P<0.001),and pairwise comparison was made.The results showed that the pairwise comparison of pH value and lactic acid value of the patients was statistically significant immediately after admission,24 h after admission,and 48 h after admission(P<0.05).The results of the comparison of the mean values of acid and base indicators at each time point before and after the intervention showed that there was no statistically significant difference between the two groups in the acid and base indexes immediately after admission,24 h after admission,and 48 h after admission(P>0.05).4.Comparison of prognosis between the two groups.The incidence of chills and infection in the control group was higher than that in the observation group,and the difference was statistically significant(P<0.05).The number of patients with deep venous thrombosis in the observation group was lower than that in the control group,which had clinical significance.Conclusion:1.Preventive warm infusion can stabilize the body temperature of emergency trauma patients,reduce the occurrence of hypothermia,stabilize the blood coagulation index and acid-base index of patients,and improve the blood coagulation function and homeostasis of the internal environment.2.Preventive warm infusion can improve the prognosis of patients and reduce the incidence of chills,infections and deep venous thrombosis,which is convenient,fast,economical and practical,and worthy of clinical promotion. |
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