术中低体温对患者麻醉恢复期的影响及护理干预.doc

术中低体温对患者麻醉恢复期的影响及护理干预 2004-7-21 18:6　 【大 中 小】【我要纠错】 　　摘要　目的：观察术中低体温对患者麻醉恢复期的影响。方法：选择全麻开腹手术患者60 例，ASA ～ 级。按照随机表法随机分为两组，常规组30 例，行常规手术，术中肛温34. 2～35. 5 ；保暖组30 例，术中注意保暖，室内温度维持在28～30 ，使用电子液体加温仪输液及输血，冲洗液用水温浴箱加温至37 ，术中肛温35. 6～36. 5 。观察两组术前、术中及术后血压、心率、肛温、拔管时间、清醒时间、尿量、引流量、寒颤及躁动的发生率。结果：与保温组相比，常规组患者血压升高，心率增快，清醒延迟，引流量增多，寒颤、躁动发生率高。结论：术中低体温使术后氧耗增加，术后潜在并发症的发生机会增多。术中应监测体温，输液液体及冲洗液应加温，注意保持手术间温度，以降低上述反应的发生率。 　　Nursing intervention and effects of hypothermia in postoperation to postanesthesia recovery periodPZHANG Shuyue ， ZHU Junyu ，PENGYanzeng ， et alPPChinese Journal of Nursing ，22003 ， 38 （3） ：176.Abstract 　Objective ： To investigate the effects of hypothermia in operation on recovery from anesthesia. Methods ： 60 patients undergoing ab2 dome operation were randomly divided into two groups. All patients were generally anesthetized. In the conventional group（ n = 30） rectal tem2perature was 34. 2 to 35. 5 ℃。 In the warmed group （ n = 30） rectal temperature was maintained between 35. 6 to 36. 5 ℃。 BP ， HR ， rec2tal temperature ， extubation time ， awaking time ， drainage volume ， urinary volume ， shiver and restless movement were recorded before ， duringand post operation. Results ： In conventional group ， BP was higher ， HR was faster ， awaking time was longer ， drainage volume was morethan those in warmed group. The incidence of shiver and restless movement were also markedly higher in conventional group. Conclusion ：Postoperative hypothermia can increase general O2 consumption and the incidence of postanesthesia complications. The patients tempratureshould be monitored during operation. In order to decrease the complications ， we should increase the temperature in the operation room and allthe fluid received by the patients. Key words 　Hypothermia ； 　Intraoperavive care ； 　Anesthesia ，general ； 　Anesthesia recovery periodAuthor‘s address 　Department of Anesthesiology ，The Second Hospital of Hebei Medical University ， Shijiazhuang ，050000 　　术中低体温是手术常见的并发症，特别是长时间手术、大手术、老年人和小儿手术后尤易发生。