围术期综合保温对腹腔镜手术患者体温及术后恢复影响.docVIP

围术期综合保温对腹腔镜手术患者体温及术后恢复影响 　　【摘要】 目的：探?围术期综合保温措施对腹腔镜手术患者体温、术后恢复及并发症的影响。方法：选择2016年7-12月行妇科腹腔镜手术的患者60例，按照随机数字表法将其分为观察组和对照组，各30例。两组麻醉方法一致，观察组给予综合保温措施，对照组采用常规保温措施。观察记录两组入室到术毕离室的体温、术中出血量、手术时间、液体输入量、苏醒时间及拔管时间；离开麻醉后监测治疗室（postanesthesia care unit，PACU）前10 min行血气分析，记录pH值和乳酸水平，观察两组在PACU期间寒颤及躁动的并发症发生情况。结果：两组手术时间、出血时间及液体输入量比较，差异均无统计学意义（P0.05）；观察组乳酸含量显著高于对照组（P0.05）；观察组苏醒时间和拔管时间均短于对照组（P0.05）；观察组术后寒颤及躁动发生例数均显著低于对照组（P0.05）。结论：围术期综合保温能有效降低围术期低体温的发生，促进术后恢复，减少术后并发症的发生，提高患者手术舒适度及满意度。 　　【关键词】 围术期保温； 腹腔镜手术； 体温； 术后恢复 　　Influence of Perioperative Warming on Body Temperature and Postoperative Recovery of Patients Undergoing Laparoscopic Surgery/DAI Heng，CHEN Hongyan，SONG Yun.//Medical Innovation of China，2017，14（32）：144-148 　　【Abstract】 Objective：To investigate the effect of perioperative warming on body temperature，postoperative recovery and complications of patients undergoing laparoscopic surgery.Method：60 cases of gynecological laparoscopic surgeries from July to December 2016 were selected，according to the random number table method，they were divided into observation group and control group，30 cases in each group.The anesthesia methods of two groups were consistent，the observation group was given comprehensive insulation measures，and control group was given conventional thermal insulation measures.The body temperature，blood loss，operation time，liquid input，recovery time and extubation time of two groups were observed and recorded，blood gas analysis was performed 10 min before leaving PACU，the pH value and lactic acid level were recorded，during PACU，the occurrence of chils and restlessness between two groups were observed.Result：The operation time，bleeding time and fluid input of two groups were compared，the difference were not statistically significant（P0.05），the lactic acid content of observation group was significantly higher than that of control group（P0.05），the recovery time and extubation time of observation group were shorter than those of control group（P0.05），the chils and re