择期手术患儿发热原因分析及应对措施

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1、择期手术患儿发热原因分析及应对措施［摘要］目的探令分析择期手术患儿发热的原因及应对措施。方法选择2014年1月〜2016年7月入住解放军总医院小儿外科的待手术患儿200例，将其随机分成实验组和对照组，各100例。对照组行常规术前准备，实验组患儿除行常规术前准备外还要进行术前补液。分析两组患儿性别、疾病种类、月龄、身高、体重五方面的数据，并对两组患儿术前平均体温、平均住院天数及发热情况进行统计学分析。结果两组患儿性别、疾病种类、月龄、身高、体重比较，差异无统计学意义。两组术前平均体温和平均住院天数比较差异有统计学意义。对照组出现10例发

2、热病例，实验组出现1例发热病例，实验组发热率明显低于对照组，差异有统计学意义，同时发现实验组1例发热患儿月龄为8个月，对照组10例发热患儿中0〜12月龄的占4例，〉12〜48月龄的占3例，〉48〜84月龄的占2例，〉84〜168月龄的占1例，说明年龄越小越容易出现发热。结论术前静脉补液对于预防择期手术患儿出现发热有重要的临床意义。［关键词］择期手术；静脉补液；发热［中图分类号］R720.597［文献标识码］A［文章编号］1673-721006-0116-03DepartmentofPediatricSurgery，PLAGeneral

3、Hospital，Beijing100853，China[Abstract]ObjectiveToinvestigateandanalyzethecausesoffeverinchildrenunderelectivesurgeryanditscountermeasures.MethodsTwohundredchildrenunderwentelectivesurgeryinDepartmentofPediatricSurgeryofChinesePLAGeneralHospitalfromJanuary2014toJuly2016w

4、ereselectedandrandomlydividedintotheexperimentalgroupandthecontrolgroup，with100patientsineachgroup.Thecontrolgroupreceivedroutinepreoperativepreparation.Inadditiontoroutinepreoperativepreparation,theexperimentalgroupwasgivenpreoperativefluidreplacement.Thegender，categor

5、iesofdisease，age，heightandweightwereanalyzedbetweenthetwogroups，andtheresultsofaveragebodytemperature，averagehospitalizationtimeandfeverconditionsofthetwogroupswereanalyzedwithstatistics.ResultsTherewerenosignificantdifferencesofthegender，categoriesofdisease，age，heighta

6、ndweightbetweenthetwogroups.Thereweresignificantdifferencesofaveragebodytemperatureandaveragehospitalizationtimebetweenthetwogroups.Therewere10casesoffeverinthecontrolgroupand1caseoffeverintheexperimentalgroup，theincidenceoffeverintheexperimentalgroupwassignificantlylow

7、erthanthatofthecontrolgroup.Atthesametime，onecaseoffeverintheexperimentalgroupwas8monthsold.Amongthe10febrilechildrenofcontrolgroup，4casesofthemwereinthe0-12months,3caseswereinthe>12-48monthsrange，2caseswereinthe>48-84monthsrangeand1casewasinthe>84-168monthsrange，whichs

8、howedthattheyoungerweremorepronetofever.ConclusionPreoperativeintravenousfluidreplacementforthepreventionofele