药液浸润智能补充装置的研制及在脓毒症高热患者中药溻渍降温中的应用

doi:10.3761/j.issn.2096-7446.2025.10.001

摘要/Abstract

摘要：

目的探讨药液浸润智能补充装置的设计原理、关键技术，实现其在中药溻渍技术干预脓毒症患者高热症状中的应用。方法药液浸润智能补充装置由主体、导管、水泵、温湿度探头和控制单元组成，选取2023年3月—8月北京市某三级甲等医院ICU收治的90例使用中药溻渍技术干预高热症状的脓毒症患者作为应用对象，采用随机数字表法进行分组，分为试验组和对照组，每组各45例，试验组应用药液浸润智能补充装置联合中药溻渍降温，对照组采用传统中药溻渍技术降温。比较患者体温变化。结果比较患者溻渍30 min及溻渍结束3 h后体温，差异具有统计学意义（P<0.001）；中药溻渍并发症发生率作比较，差异具有统计学意义（P<0.05）；患者和护理人员对中药溻渍技术应用的满意度，差异具有统计学意义（P<0.001）。结论药液浸润智能补充装置应用于中药溻渍中，能快速、持续有效降温，提高治疗效果及安全性，降低护理工作量，提高患者对中药溻渍技术的依从性和满意度，规范了中药溻渍技术在临床应用中的操作。

关键词: 药液浸润智能补充装置, 脓毒症, 高热, 中药溻渍, 护理

Abstract:

Objective To explore the design principle and key technology of an innovative intelligent supplement device for liquid infiltration，and to realize its application in traditional Chinese medicine Tazi technique for the intervention of high fever symptoms in patients with sepsis. Methods The intelligent supplement device of liquid medicine infiltration is composed of main body，catheter，water pump，temperature and humidity probe and control unit. From March to August 2023，90 sepsis patients with high fever symptoms who were treated with traditional Chinese medicine Tazi technique in ICU of a tertiary hospital in Beijing were selected as the application objects. By random number table method，they were divided into experimental group and control group，45 cases in each group. The experimental group was treated with liquid infiltration intelligent supplement device combined with traditional Chinese medicine Tazi cooling，the control group was cooled by traditional Chinese medicine Tazi technique. The changes of body temperature were compared. Results There was a statistically significant difference in body temperature 30 min and 3 h after the end of the treatment（P<0.001）. The incidence of complications of traditional Chinese medicine was compared，and the difference was statistically significant（P<0.05）. There was a statistically significant difference in the satisfaction of patients and nurses with traditional Chinese medicine Tazi technique（P<0.001）. Conclusion The application of liquid infiltration intelligent supplement device in traditional Chinese medicine Tazi technique can quickly and continuously cool down effectively，improve the treatment effect and safety，reduce the nursing intensity，improve the compliance and satisfaction of patients with traditional Chinese medicine Tazi technique，and standardize the operation of traditional Chinese medicine Tazi technology in clinical application.

Key words: Liquid Infiltration Intelligent Supplement Device, Sepsis, High Heat, Chinese Medicine Tazi, Nursing Care

周敏, 石福霞, 赵利利, 张兵, 刘益诚, 孟思璠. 药液浸润智能补充装置的研制及在脓毒症高热患者中药溻渍降温中的应用[J]. 中华急危重症护理杂志, 2025, 6(10): 1157-1161.

ZHOU Min, SHI Fuxia, ZHAO Lili, ZHANG Bing, LIU Yicheng, MENG Sifan. Development of liquid infiltration intelligent supplement device and its application in the implementation of traditional Chinese medicine Tazi technique in patients with sepsis and high fever[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(10): 1157-1161.

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