气道加温在小儿外科手术中对体温变化影响.docVIP

气道加温在小儿外科手术中对体温变化影响 　　【摘要】 目的：观察经气道加温在小儿外科手术中对体温变化的影响。方法：选择全身麻醉下小儿腹腔镜手术40例，随机分为观察组和对照组，每组20例。观察组为气道加温组，使用经呼吸道加温设备，在机械通气时给患儿持续加温，对照组在常规室内温度下机械通气，观察比较两组机械通气后即刻和机械通气后1.5 h患儿的食道温度和气道温度。结果：在通气后1.5 h，观察组气道温度明显高于对照组，且高于机械通气时，差异均有统计学意义（P0.05）。在通气1.5 h后，对照组食道温度明显下降（P0.05），观察组食道温度高于对照组（P0.05）。结论：经呼吸道加温用于小儿外科手术，对减少小儿体温下降、术中保持患儿的体温有重要作用。 　　【关键词】 气道； 加温； 体温变化； 小儿外科手术 　　中图分类号 R726.1 文献标识码 B 文章编号 1674-6805（2016）25-0024-02 　　【Abstract】 Objective：To observe the effect of the changes of body temperature by airway heating during pediatric surgery.Method：40 pediatric patients of general anesthesia during laparoscopy were randomly divided into two groups，20 cases in each group.The observation group was airway heating group，which was provided continuous heating during the children were mechanically ventilated by the airway heating equipment.The control group was mechanically ventilated by normal indoor temperature.The temperature of children’s esophageal and the airway temperature immediately after mechanical ventilation and 1.5 hours later in both groups were observed and compared.Result：In the 1.5 h after ventilation，the observation group was significantly higher than the control group，and higher than that in mechanical ventilation time，the differences were statistically significant（P0.05）.After ventilation for 1.5 h，esophageal temperature in the control group was significantly decreased （P0.05），and the esophageal temperature in the observation group was higher than that in control group（P0.05）.Conclusion：Airway heating plays an important role in lessening the decrease of pediatric temperature and maintaining the temperature during the pediatric surgery. 　　【Key words】 Airway； Heating； Change of body temperature； Pediatric surgery 　　First-author’s address：Hubei University of Science and Technology，Xianning 437100，China 　　doi：10.14033/j.cnki.cfmr.2016.25.010 　　围术期低体温对机体可产生许多不利影响，文献[1]研究证实，围术期低体温与围术期心血管事件、凝血功能障碍、伤口感染及延长药物代谢等方面并发症相关。全身麻醉中末梢血管扩张，人体体温调节中枢抑制，体温调节能力减低[2]。相对于成人，小儿基础代谢率