术后寒颤的中医特色护理体会.docVIP

精品论文 参考文献 术后寒颤的中医特色护理体会 甘肃省中医院 甘肃兰州 730050 　　摘要：目的：观察中药热奄包治疗术后寒战的临床疗效，探讨术后寒颤的中医特色护理及预防治疗。方法 将160例病人随机地分为实验组80例，对照组80例，治疗前两组均作生命体征记录，实验组给予自制中药热奄包治疗，对照组给予加被及热水袋保暖护理措施，并记录热敷后两组患者寒颤症状快速减轻至消失的时间。结果 相比对照组，实验组80例患者经我科中医特色护理后，术后寒颤症状均有明显缓解，寒颤时长均明显缩短，有效率为100%。结论 中药热奄包治疗术后寒战临床护理有明确疗效，对于术后寒颤的中医特色护理及预防治疗有确切的临床价值，值得临床推广。 　　关键词：术后；寒颤；中医；护理 　　Characteristics of TCM nursing experience of postoperative shivering 　　These static Zhao Zhiliang WeiCaiXia 　　（hospital，gansu province，gansu province，lanzhou 730050） 　　Objective：to observe the traditional Chinese medicine hot I package treatment the clinical curative effect of postoperative chills，explore the characteristics of traditional Chinese medicine nursing and prevention treatment of postoperative shivering.Methods 160 patients were randomly divided into experimental group 80 cases，control group 80 examples，two groups are a vital signs recorded before treatment，treatment group give homemade medicine hot I package，the control group given by hot water bag to keep warm and nursing measures，and record heat ague symptoms in both groups after reduce the time to disappear quickly.Results compared with control group，experimental group 80 patients after I branch characteristics of traditional Chinese medicine nursing，are obviously alleviate postoperative symptoms of chills，shivering time were significantly shortened，effective rate was 100%.Conclusion traditional Chinese medicine hot I package in treatment of postoperative chill has clear curative effect，clinical nursing for the prevention and treatment of postoperative shivering characteristics of traditional Chinese medicine nursing and has definite clinical value，worthy of clinical promotion. 　　Keywords chills TCM nursing 　　术后寒颤是指手术后患者出现不能自主的肌肉收缩抽动，其具体原因尚不清楚，可能是因为围手术期由于麻醉剂对体温调节的抑制及患者缺乏应有的保温措施、局麻药、吸入性麻醉气体、长时间手术、术中大量输血、输冷液及术野暴露、手术室室温较低、手术本身对患者身体的刺激等原因，导致患者有不同程度的体温降低，使寒颤发生率增高[1-2]。 　　椎管内麻醉术后患者发生寒颤较为常见。寒颤不仅可增加眼内压，颅内压，还可使氧及CO2的产量增加2～3倍，这种代谢的增加对肺内分流、心排出量固定，呼吸贮备降低的患者极其不利。我科每日手术平均在5台左右，术后部分患者出现体温偏