腹部外科手术中使用加温毯对患者体温保护的影响.docVIP

精品论文 参考文献 腹部外科手术中使用加温毯对患者体温保护的影响 四川省达州市中心医院手术室 635000 摘要：目的：探讨腹部手术中使用加温毯保温措施对患者体温下降的影响。方法：选取笔者所在医院外科 2015 年 5 月 -2016 年 4 月实施腹部手术的 84 例患者，随机分为研究组和对照组，每组 42 例。研究组采用覆盖 36 ℃ ~41 ℃电加温毯方法保温，对照组采取不保温措施，记录进入手术室、切皮、手术进行每 1 小时至手术结束时额部温度。结果：研究组进入手术室时温度为（36.9plusmn;0.3）℃，切皮时温度为（36.7plusmn;0.2）℃，均明显高于对照组的入室时温度（36.6plusmn;0.2）℃及切皮时温度（36.2plusmn;0.4）℃，比较差异均有统计学意义（Plt;0.05）；研究组手术进行后每 1 小时至手术结束时的额部温度均明显高于对照组，差异均有统计学意义（Plt;0.05）。结论：对腹部手术患者术中覆盖电加温毯具有较好保温效果，可有效预防患者体温下降，减少术中低体温危害。 关键词：体温；　腹部手术；　电加温毯；　保温 【 abstract 】 objective：to study the abdominal surgery used in heating blanket insulation measures the influence of hypothermia on the patients. Methods：to select the authors hospital surgery in May，2015 - April 2016 the implementation of 84 patients of abdominal surgery，were randomly divided into research group and the control group，42 cases in each group. Team with covering 36 ℃ ~ 41 ℃ electric heating blanket method of heat preservation，the control group take measures of heat preservation，into the operating room，cut skin，at the end of surgery for every 1 hour to forehead temperature. Results：the team into the operating room temperature（36.9-0.3）℃，cut the skin temperature（36.7-0.2）℃，were significantly higher than that of control group in the house when the temperature（36.6-0.2）℃ and temperature when cut a skin（36.2 + 0.4）℃，comparative differences are statistically significant（P lt; 0.05）；Team for every 1 hours until after surgery at the end of the forehead temperature were significantly higher than that of control group，difference has statistical significance（P lt; 0.05）. Conclusion：for abdominal surgery patients who cover electric heating blanket has good heat preservation effect，can effectively prevent hypothermia patients，reduce the low temperature damage. 【 key words 】 temperature；Abdominal surgery. Electric heating blanket；Heat preservation 体温是人体重要生命体征，腹部手术过程中由于麻醉、手术过程、手术时间、手术室环境等各种因素的影响容易造成术中低体温[1]。术中体温下降往往被忽视，除特殊情况外临床上手术不常规监测体温，有研究表明术中体温下降能使患者出现寒战肢体麻木等不适、增加心血管疾病发生