目的 探讨对急性创伤患者实施风险筛查联合全程体温管理策略,对其低体温预防的效果及对凝血功能的影响。方法 纳入2023年1月—2024年6月在本院急诊科就诊的92例急性创伤患者为研究对象,采用随机数表法分为2组,各46例。对照组患者接受常规急性创伤急救护理,观察组患者则在对照组基础上接受风险筛查联合全程体温管理策略。比较两组患者低体温及寒战发生情况、低体温持续时间及干预前后凝血指标。结果 观察组患者低体温和寒战发生率均低于对照组,差异有统计学意义（P<0.05）;所有出现低体温的患者中,观察组的低体温持续时间短于对照组,差异有统计学意义（P<0.05）;干预后,观察组患者的凝血酶原时间（PT）和活化部分凝血酶时间（APTT）均短于对照组,差异有统计学意义（P<0.05）。结论 对急性创伤患者实施风险筛查联合全程体温管理策略,可有效改善患者的凝血功能,预防低体温及寒战发生,并缩短低体温持续时间。

Objective To investigate the effect of risk screening combined with full-process body temperature management strategy on hypothermia prevention and coagulation function in acute trauma patients. Methods A total of 92 patients with acute trauma who attended the emergency department of our hospital from January 2023 to June 2024 were enrolled as the research subjects and divided into two groups by random sampling, with 46 cases in each group. Patients in the control group received routine acute trauma first aid care, while those in the observation group received risk screening combined with the whole process of temperature management on the basis of the control group. The incidence of hypothermia and chills, the duration of hypothermia and coagulation indicicators before and after the intervention were compared between the two groups. Results The incidence of hypothermia and chills in the observation group was lower than that in the control group, and the difference was statistically significant (P < 0.05), and the duration of hypothermia in the observation group was shorter than that in the control group (P < 0.05).After the intervention the differencs in prothrombin time (PT) and activated partial thromboplastin time in the observation group were shorter than those in the control group (P < 0.05). Conclusion The implementation of risk screening combined with full-process body temperature management strategy in acute trauma patients can effectively improve the coagulation function, prevent the occurrence of hypothermia and chills, and shorten the duration of hypothermia.