麻醉恢复室低体温的护理管理研究.docVIP

精品论文 参考文献 麻醉恢复室低体温的护理管理研究 湖南省肿瘤医院 410013 【摘 要】目的 评价PACU使用医用充气式保温仪（JWQ-1102）对全麻术后患者低体温管理的临床效果。方法 全身麻醉下行开腹式卵巢肿瘤细胞减灭术的卵巢恶性肿瘤患者309例，入PACU后随机分为加温组（152例）和未加温组（157例）。加温组采用医用充气式加温，温度维持在35~40℃，不加温组盖棉被被动保暖。分别记录两组患者术前30分钟﹑入PACU时、麻醉苏醒时、离PACU时各时间点腋温，麻醉恢复期出血量、麻醉苏醒时间、气管导管拔管时间，以及各组患者寒颤、躁动发生率。结果 两组患者手术前30分钟，入PACU时，麻醉苏醒时的腋温以及躁动发生率的差异无统计学意义（Pgt;0.05）；离开PACU时腋温﹑麻醉恢复期出血量、麻醉苏醒时间、气管拔管时间、寒战发生率的差异有统计学意义（Plt;0.05），加温组均优于未加温组。结论 PACU使用医用充气式加温仪能明显改善患者低体温和相关并发症，加快PACU床位周转率，是一种经济﹑安全﹑有效的保温措施。 【关键词】全麻手术后；低体温；医用充气式加温仪；麻醉恢复室；并发症 [Abstract]To evalue the effects of medical inflatable machines（JWQ-1102）used to keep postoperative patients warm after general anesthesia in PACU.Methods 309 patients with ovarian carcinoma undergoing cytoreductive surgery were randomized to the warming group（n=152）and the unwarming group（n=157）.Patients in the warming group were heated with the medical inflatable machines and their temperatures were kept between 35℃~40℃；those in the unwarming group were wraped with medical quilts.Each patientrsquo;s axillary temperature was recorded at 30min before surgery，the moment of entering in PACU，the awakening time and of leaving from PACU respectively.Other indicates including the amount of bleeding in PACU，awakening time，extubation time and the incidence of shivering and moving restlessly.Results There were no significantly differences in axillary temperatures at 30min before surgery，the moment of entering in PACU，at the awakening time and the incidence of moving restlessly between the two groups（Pgt;0.05）.However，remarkable differences were found including axillary temperatures of leaving from PACU，the amount of bleeding，awakening time，extubation time in PACU between the two groups（P﹤0.05），the warming group were superior to the unwarming group.Conclusion：Medical inflatable machines can improve the situations of hypothermia and decrease the corresponding complications of patients after surgery，and can speed the turnround rate of PACU.It is an economic，safe and effective way to k