全麻腹部手术患者围术期鼓膜温与腋温的变化研究.docxVIP

全麻腹部手术患者围术期鼓膜温与腋温的变化研究 　　【摘要】目的：研究全麻腹部手术患者围术期鼓膜温与腋温的变化规律。方法：选择笔者所在医院2018年5月-2019年1月择期全麻腹部手术患者40例，入手术室后均同时进行鼓膜温和腋温监测，麻醉诱导后每间隔20min记录一次。观察麻醉诱导后180min内不同时间点鼓膜温与腋温的变化情况。并采用bland-altman分析法对鼓膜温与腋温的一致性进行分析。结果：麻醉诱导后鼓膜温和腋温均随时间的变化而进行性下降，差异有统计学意义（f=67.617，p=0.000）。bland-altman分析显示，鼓膜温与腋温之间存在一致性，具有良好的相关性。结论：腹部手术患者全身麻醉后体温会下降，无线温度持续监测传感器测量鼓膜温，可以用于围术期体温的监测。 　　【关键词】鼓膜温腋温全麻腹部手术 　　doi：10.14033/j.cnki.cfmr.2020.12.064文献标识码b文章编号1674-6805（2020）12-0-03 　　studyonthechangesofperioperativetympanicmembranetemperatureandaxillarytemperatureinpatientsundergoingabdominalsurgeryundergeneralanesthesia/zhaoyan，xiaoxiangli，huangweibo，chenzhiyu，maositan，yinhongjuan.//chineseandforeignmedicalresearch，2020，18（12）：-153 　　[abstract]objective：tostudythechangesofperioperativetympanicmembranetemperatureandaxillarytemperatureinpatientsundergoingabdominalsurgeryundergeneralanesthesia.method：frommay2018tojanuary2019，40patientswithabdominalsurgeryundergeneralanesthesiainourhospitalwereselected.afterenteringtheoperatingroom，thetympanicmembranetemperatureandtheaxillarytemperatureweremonitoredatthesametime.afterinductionofanesthesia，thetympanicmembranetemperatureandtheaxillarytemperaturewererecordedevery20min.thechangesoftympanicmembranetemperatureandaxillarytemperatureatdifferenttimepointswithin180minafterinductionofanesthesiawereobserved.bland-altmananalysiswasusedtoanalyzetheconsistencyoftympanicmembranetemperatureandaxillarytemperature.result：afterinductionofanesthesia，thetemperatureoftympanicmembraneandaxillarygraduallydecreasedwiththechangeoftime.thedifferencewasstatisticallysignificant（f=67.617，p=0.000）.bland-altmananalysisshowedthatthetympanicmembranetemperaturewasconsistentwiththeaxillarytemperature，showedagoodcorrelation.conclusion：thetemperatureofpatientsundergoingabdominalsurgerywilldecreaseaftergeneralanesthesia，andthecontinuouswirelesstemperaturemonitoringsensormeasuresthetympanicmembranetemperature，whichcanbeusedforperioperativetemperaturemonitoring. 　　[keywords]tympanicmembr