保温干预对人工关节置换术患者术中生命体征影响.docVIP

保温干预对人工关节置换术患者术中生命体征的影响 　　[摘要] 目的 探讨保温护理干预对人工关节置换术患者术中生命体征的影响。方法 将100例拟行人工关节置换术的患者随机分为常温组和温热组各50例。常温组采用室温下的静脉输液及进行术区冲洗,而温热组实施包括静脉输液及术区冲洗液加温在内的保温护理干预。比较两组患者麻醉后30min、术中2h、术毕时的体温、心率及平均动脉压(MAP)和心肌耗氧量,同时于术中1h、术中2h和术毕时记录两组患者低体温和高血糖发生情况。结果 保温组术中2h和术毕时的体温明显高于常温组同时点,差异有统计学意义,均P0.05;术中2h和术毕时,保温组的低体温和高血糖发生率明显低于常温组,差异有统计学意义,均P0.01(χ2=9.333,21.374,7.104,9.890)。结论 术中保温护理干预能够有效防止人工关节置换术患者术中体温下降,有利于控制血糖浓度,且不会对患者循环功能造成影响。 　　[关键词] 人工关节置换术;温热液体;生命体征;护理 　　[中图分类号] R47 [文献标识码] A [文章编号] 1673-9701(2010)04-84-03 　　 　　Influence of Intraoperative Warming on Vital Signs in Patients Undergoing Artificial Joint Replacement 　　LIU FengmingZENG Lingzhi 　　Taojiang County People’s Hospital in Hunan Province,Taojiang 413400,China 　　 　　[Abstract] Objective To explore the effect of intraoperative warming intervention on vital signs in patients undergoing artificial joint replacement. Methods A hundred patients scheduled for artificial joint replacement were randomly divided into the room and warming teperature group each comprising 50 cases. The former received intravenous infusion and washing in operative area at room temperature,while the latter received the intraoperative warming interventions including intravenous infusion and washing liquid warming. The levels of the body temperature,heart rate,mean arterial pressure(MAP) and myocardial oxygen consumption were compared 30min after anesthesia,2h after operation and operation completion between both two groups,and the incidences of hypothermia and hyperglycemia were noted 1h,2h after surgery and operation completion. Results The body temperature at 2h after operation and operation completion were markedly higher in the warming group than in the room temperature group,with significant differences between two groups,both P0.05; The incidence rates for the hypothermia and hyperglycemia 2h after operation and after operation completion were considerably lower in the warming group than in the room temperature group,showing significant difference