保温护理对全身麻醉患者术中应激及术后苏醒的影响.docVIP

保温护理对全身麻醉患者术中应激及术后苏醒的影响 ［ ］目的探?全身麻醉患者接受保温护理对 其术中应激以及术后苏醒的影响。方法选取2015年 12月?2016年8月全身麻醉患者120例，随机分为两 组，各60例，对照组给予基础护理，实验组给予保温 护理，比较两组患者术中应激以及术后苏醒情况。结 果实验组全身麻醉患者的术中出血量为(492.36土 10.30) ml,输液量为(2107.23±70.15) ml、手术时 间为(3.88±0.53) h，与对照组的术中出血量［(495.31 ±10.09) ml］、输液量［(2119.52±75.10) ml］、手术 时间［(3.93±0.46)h］比较，差异无统计学意义(P0.05); 实验组低温、寒战、躁动的发生概率明显低于对照组 (P ［关键词］全身麻醉；保温护理；术中应激；术后 苏醒 ［ ］R614.2 ［ ］A ［ ］ 1674-4721 (2016) 12 (c) -0194-03 Insulation care awakening intraoperative and postoperative stress in patients with general anesthesia LI Yi-jun The First Hospital Affiliated of Guangzhou Medical University, Guangzhou 510230，China [Abstract]Objective To explore the general anesthesia patients accepted insulation care on its awakening intraoperative and postoperative stress.Methods 120 cases of patients with general anesthesia from December 2015 to August 2016 were selected and randomly divided into two groups，60 cases in each group，the control group was treated primary care，the experimental group was given insulation care， the post operative stress condition and revive the intraoperative of two groups were compared.Results Bleeding amount of experimental group of patients was (492.36±10.30) ml，infusion volume was (2107.23 ±70.15) ml，operation time was (3.88 ±0.53) h， and bleeding amount of control group was (495.31士 10.09) ml, infusion volume was (2119.52±75.10) mb operation time was (3.93 土 0.46) h, there were no significant differences (P0.05)； the low temperature, chills, agitation of experimental group were lower than those of control group (P [Key words]General anesthesia； Insulation care； Intraoperative stress； Postoperative revival 全身麻醉患者在手术过程中较易出现低温的情况， 导致其出现低温的原因较多，包括手术室温度低、手 术时间长、患者身体暴露、体腔开放时间长、皮肤消 毒、输液温度低等，同时患者在全身麻醉后，可能会 抑制其体温调节中枢，使得患者出现低温的症状［1-2］。 低温会影响患者在麻醉后的清醒时间，严重者会出现 凝血功能障碍等并发症［3］，因此，采取有效措施对全 身麻醉患者的低温情况进行预防来改善其术中应激以 及术后苏醒情况意义重大。为探讨保温护理在全身麻 醉患者中的应用价值，本文以我院全身麻醉患者作为 研宄对象，探讨全身麻醉患者接受保温护理对其术中 应激以及术后苏醒的影响，现报道如下。 1资料与方法 1.1 一般资料 选取2015年12月?2016年8月全身麻醉患者 120例，随机分为两组，对照组给予基础