脑肿瘤手术患者充气加温毯给予时机研究-中国护理管理.PDFVIP

水滴行动专题 Topical Issues 脑肿瘤手术患者充气加温毯给予时机研究 陈志鹏 关莹 陈君 梁禹 金奕 [ 摘 要 ] 目的：通过对比充气加温毯的不同给予时机，观察其对脑肿瘤手术患者体温及并发症的影响。方法：将83 例脑 肿瘤手术患者随机分为两组，干预组41例在患者进入手术间时立即给予普通毛毯＋充气加温毯加温，对照组42 例在进入手术 间时给予普通毛毯，麻醉诱导时给予充气加温毯加温，观察两组患者围手术期体温、术中出血量、术后寒战发生率、苏醒期躁 动发生率、麻醉苏醒时间、切口感染发生率。结果：干预组麻醉诱导时、麻醉1.5h、麻醉结束时体温均高于进入手术间时，体 温差异均有统计学意义（P0.05）；对照组麻醉诱导时到麻醉1.5h 的体温均低于进入手术间时，差异均有统计学意义（P0.05）； 干预组从麻醉诱导时到麻醉结束时各时间点体温均高于对照组，体温差异均有统计学意义（P0.001）；干预组寒战发生率、躁 动发生率及麻醉苏醒时间均低于对照组，差异有统计学意义（P0.05）。结论：脑肿瘤手术患者进入手术间时应立即给予充气加 温毯加温，并且要注意适当的温度档位调节，从而能够减少围手术期低温的发生，降低术后并发症的发生。 [ 关键词 ] 脑肿瘤手术；充气加温毯；给予时机；围手术期 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2015.11.017 The study of timing of force-air warming blanket on patient during brain tumor surgery / CHEN Zhipeng, GUAN Ying, CHEN Jun, LIANG Yu, JIN Yi // Operating Theatre, Tianjin Huanhu Hospital, 300060 China /// Chinese Nursing Management- 2015,15(11): 1344-1347 [Abstract] Objective: To observe the effect of forced-air warming blanket application timing on patients temperature and complication during brain tumor surgical operation. Methods: We collected 83 brain tumor surgery cases, and then randomly divided into two groups. The treatment group (n=41) was applied ordinary blanket and forced-air warming blanket immediately after the patients were sent into the operating theatre. The patients in the control group (n=42) were given the ordinary blanket when they were into the operating theatre, but given the forced-air warming blanket only when the narcotic induction started. We examined and compared two groups of patients on perioperative body temperature, intraoperative blood loss, postoperative incidence of chills, awakening agitation rate, anesthesia duration, incision infection risk. Results: The patients body temperatures in the treatment group were