中文摘要：

目的观察亚低温治疗仪对重型颅脑损伤手术后中枢性高热患者降温效果。方法选取2015年1月～2016年12月重型颅脑损伤手术后高热患者42例,按随机数字表法分为观察组和对照组,各21例,两组患者均给予常规治疗及护理,观察组患者发热时应用亚低温治疗仪降温,对照组给予常规降温（冰帽、冰枕、退热帖、退热药）,比较两组患者降温处理后0.5、1、2、72 h体温下降情况、家属对降温效果满意度。结果两组患者降温处理前后比较,差异均有统计学意义（P〈0.01）;降温处理后观察组患者体温下降较对照组明显,差异有统计学意义（P〈0.01）;观察组患者降温处理后0.5、1、2、72 h与降温处理前比较,差异均有统计学意义（P〈0.01）;对照组患者降温处理后1、2、72 h与降温处理前比较,差异有统计学意义（P〈0.01）,降温处理后0.5 h与降温处理前比较,差异无统计学意义（P〉0.05）;观察组患者家属满意度为95.24%,高于对照组的47.62%,差异有统计学意义（P〈0.01）。结论应用亚低温治疗仪对重型颅脑损伤手术后引起中枢性高热患者进行降温,操作简便、安全、有效,提高工作效率,家属对降温效果满意度高,可基层医院推广应用。

英文摘要：

Objective To observe the effect of mild hypothermia therapeutic apparatus in the treatment of severe craniocerebral injury patient with central hyperpyrexia after operation.Methods 42 cases of severe craniocerebral injury patients with central hyperpyrexia after operation from January 2015 and December 2016 were selected and divided into observation group and control group,21 cases in each group,according to random number table.Both group were given the routine treatment and nursing,the observation group was cooled down with mild hypothermia therapeutic apparatus when having fever,the control group was performed routine cooling（ice hat,ice pillow,cooling gel sheet,anti-febrile）,the body temperature decreases in 0.5,1,2 and 72 hours of two groups after the cooling measurement were recorded and compared, the satisfaction of the patients′ family members of were also compared.Results After the cooling treatment,the body temperature was compared of two groups,with statisticant difference（P〈0.01）;the temperature change of observation group was bigger than that of control group,the difference was statisticant（P〈0.01）;compared to the temperature before cooling measurement,the body temperature was decreased of observation group after 0.5,1,2 and 72 hours,with statisticant difference（P〈0.01）,the temperature change of the control group after 1,2 and 72 hours was compared with before cooling measurement,with statisticant difference（P〈0.01）,but the change after 0.5 hour had no statisticant difference（P 〉0.05）;the family member′ s satisfaction of observation group was 95.24%,higher than that of control group of 47.62%,with statisticant difference（P〈0.01）.Conclusion Using mild hypothermia therapeutic apparatus in the treatment of severe craniocerebral injury patients with central hyperpyrexiais convenient,safe and effective;the treatment method can increase job efficiency and the satisfaction of family members of the patient,it is worth to be popularized in primary hospitals.