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高原战创伤患者低体温管理的最佳证据总结

赵瑞璇 方世婕 张澄 李东文

军事医学2025,Vol.49Issue(6):401-406,6.
军事医学2025,Vol.49Issue(6):401-406,6.DOI:10.7644/j.issn.1674-9960.2025.06.001

高原战创伤患者低体温管理的最佳证据总结

A summary of the best evidence for hypothermia management in patients with high-altitude war trauma

赵瑞璇 1方世婕 1张澄 2李东文3

作者信息

  • 1. 川北医学院,四川南充 634700
  • 2. 成都医学院,成都 610500
  • 3. 西部战区总医院,成都 610083
  • 折叠

摘要

Abstract

Objective To retrieve,evaluate and summarize the evidence on prevention and management of hypothermia in war trauma patients at high altitudes so as to provide data for related prevention and management.Methods Clinical decisions,practices recommended,summaries of evidence,guidelines,expert consensus,systematic reviews and randomized controlled trials concerning the prevention and management of hypothermia in patients with war trauma at high altitudes that were published between the inception and February 2024 were retrieved from related websites and Chinese and English databases.Results A total of fifteen articles were included,including 4 guidelines,1 clinical decision,3 summaries of evidence,1 recommended practice,2 systematic reviews,and 4 randomized controlled trials.Finally,29 pieces of evidence were made available,involving 6 themes:hypothermia assessment,risk factors,rewarming processes,rewarming methods,body temperature monitoring,and considerations.Conclusion This study has summed up the evidence on hypothermia management in patients with war trauma at high altitudes.It is recommended that nurses take into consideration the actual conditions and clinical scenarios and formulate personalized rewarming plans based on the results of assessment of patients when using evidence.

关键词

高原/战伤/低体温管理/证据总结/循证护理

Key words

high altitude/war trauma/hypothermia management/summary of evidence/evidence-based nursing

分类

医药卫生

引用本文复制引用

赵瑞璇,方世婕,张澄,李东文..高原战创伤患者低体温管理的最佳证据总结[J].军事医学,2025,49(6):401-406,6.

军事医学

1674-9960

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