脑卒中患者的体温护理管理。

Nursing Management of Temperature in a Patient with Stroke.

机构信息

Department of Anesthesia and Pain Medicine, University of Washington.

出版信息

Crit Care Nurs Clin North Am. 2023 Mar;35(1):39-52. doi: 10.1016/j.cnc.2022.10.005. Epub 2023 Jan 2.

DOI:10.1016/j.cnc.2022.10.005

Abstract

Fever is common in patients with stroke and is associated with worse outcomes. Studies in brain injury informed interventions commonly termed therapeutic temperature management (TTM) to improve the monitoring and management of fever. While the role and benefit of TTM in stroke patients has not been well studied, the nurse and healthcare team must extrapolate existing data to determine how to best monitor and apply TTM after stroke. Nurses should be knowledgeable about interventions to monitor and manage complications of TTM (eg, shivering), the studies underway to quantify the impact of fever treatment and emerging technology expected to improve TTM.

摘要

发热在脑卒中患者中较为常见，且与不良预后相关。颅脑损伤相关研究提出了治疗性体温管理（therapeutic temperature management，TTM）这一干预措施，以改善发热的监测和管理。尽管 TTM 在脑卒中患者中的作用和获益尚未得到充分研究，但护士和医疗团队必须推断现有数据，以确定在脑卒中后如何更好地监测和应用 TTM。护士应了解监测和处理 TTM 相关并发症（如寒战）的干预措施，正在进行的量化发热治疗影响的研究，以及有望改善 TTM 的新兴技术。