麻醉患者体温变化对麻醉后苏醒及拔管时间影响探究.docVIP

麻醉患者体温变化对麻醉后苏醒及拔管时间影响探究 　　【摘要】 目的：分析和探讨外科临床上全麻手术治疗患者体温变化对于麻醉后苏醒及拔管时间的影响。方法：选择本院2014年3月-2015年3月收治的106例全麻情况下手术治疗患者，采用随机数表法分成常规处理组和手术保温组，分别给予常规处理及保温手术治疗，测定两组患者术后平均鼻咽温度。结果：保温手术组患者术中鼻咽温度、平均体温高于常规处理组，保温手术组麻醉苏醒时间以及拔管时间短于常规处理组，比较差异均有统计学意义（P0.05）。手术保温组患者术后不良反应率3.77%（2例），低于常规处理组的18.87%（10例），比较差异有统计学意义（P0.05）。结论：实施全身麻醉患者的临床手术操作可以显著提高体温，缩短术后麻醉恢复时间和拔管时间，减少术后不良反应率，值得临床应用。 　　【关键词】 体温变化； 麻醉苏醒时间； 拔管时间； 不良反应率； 回顾性分析 　　【Abstract】 Objective： To analyze and discuss the surgical clinical anesthesia surgery patients position changes for the influence of awakening and extubation time after anesthesia. Method： From March 2014 to March 2015， 106 patients who underwent general anesthesia surgical treatment， were average divided into conventional treatment group and heat preservation surgery group， insulation were given conventional treatment and surgical treatment， average nasopharyngeal temperature after treatment was tested. Result： The average average nasopharyngeal temperature， mean body temperature of the heat preservation surgery group was higher than that of the conventional treatment group， and recovery time of anesthesia and extubation time was lower， with significant differences （P0.05）. Adverse reaction rate of the heat preservation surgery group was 3.77% （2 cases）， which was lower than 18.87 （10 cases ） of the conventional treatment group， with significant differences （P0.05）. Conclusion： Implementation of clinical surgery in patients with general anesthesia operation can significantly improve the insulation body temperature of patients during operation， shorten the postoperative anesthesia recovery time and extubation time， reduce the adverse reaction rate after operation， so it is worthy of clinical use. 　　【Key words】 Body temperature changes； Anesthesia recovery time； Extubation time； Adverse reaction rate； Retrospective study 　　First-author’s address： Chaoyang Central Hospital， Chaoyang 122000， China 　　doi：10.3969/j.issn.1674-4985.2015.31.042 　　本研究对106例全麻情况下手术治疗患者的临床资