文档介绍：术中低体温对患者麻醉恢复期的影响及护理干预
2004-7-21 18:6 【大中小】【我要纠错】
摘要目的:观察术中低体温对患者麻醉恢复期的影响。方法:选择全麻开腹手术患者60 例,ASA Ⅰ~ Ⅱ级。按照随机表法随机分为两组,常规组30 例,行常规手术,术中肛温34. 2~35. 5 ℃;保暖组30 例,术中注意保暖,室内温度维持在28~30 ℃,使用电子液体加温仪输液及输血,冲洗液用水温浴箱加温至37 ℃,术中肛温35. 6~36. 5 ℃。观察两组术前、术中及术后血压、心率、肛温、拔管时间、清醒时间、尿量、引流量、寒颤及躁动的发生率。结果:与保温组相比,常规组患者血压升高,心率增快,清醒延迟,引流量增多,寒颤、躁动发生率高。结论:术中低体温使术后氧耗增加,术后潜在并发症的发生机会增多。术中应监测体温,输液液体及冲洗液应加温,注意保持手术间温度,以降低上述反应的发生率。
Nursing intervention and effects of hypothermia in postoperation to postanesthesia recovery periodPZHANG Shuyue , ZHU Junyu ,PENGYanzeng , et alPPChinese Journal of Nursing ,22003 , 38 (3) : Objective : To investigate the effects of hypothermia in operation on recovery from anesthesia. Methods : 60 patients undergoing ab2 dome operation were randomly divided into two groups. All patients were generally anesthetized. In the conventional group( n = 30) rectal tem2perature was 34. 2 ℃to 35. 5 ℃。 In the warmed group ( n = 30) rectal temperature was maintained between 35. 6 ℃to 36. 5 ℃。 BP , HR , rec2tal temperature , extubation time , awaking time , drainage volume , urinary volume , shiver and restless movement were recorded before , duringand post operation. Results : In conventional group , BP was higher , HR was faster , awaking time was longer , drainage volume was morethan those in warmed group. The incidence of shiver and restless movement were also markedly higher in conventional group. Conclusion :Postoperative hypothermia can increase general O2 consumption and the incidence of plications. The patients tempratureshould be monitored during operation. In order to decrease plications , we should increase the temperature in the operation room and allthe fluid received by the patients. Key words Hypothermia ; Intraoperavive care ; Anesthesia ,general ; Anesthesia recovery periodAuthor‘s address Department of Anesthesiology ,The Second Hospital of Hebei Medical University , Shijiazhuang ,050000
术中低体温是手术常见的并发症,特别是长时间手术、大手术、老年人和小儿手术后尤易发生。术中低体温使术中与术后交感神经张力增高,外周血管收缩