摘要
目的探讨保温护理干预对人工关节置换术患者术中生命体征的影响。方法将100例拟行人工关节置换术的患者随机分为常温组和温热组各50例。常温组采用室温下的静脉输液及进行术区冲洗,而温热组实施包括静脉输液及术区冲洗液加温在内的保温护理干预。比较两组患者麻醉后30min、术中2h、术毕时的体温、心率及平均动脉压(MAP)和心肌耗氧量,同时于术中1h、术中2h和术毕时记录两组患者低体温和高血糖发生情况。结果保温组术中2h和术毕时的体温明显高于常温组同时点,差异有统计学意义,均P<0.01(t=5.432,8.485);保温组麻醉30min、术中2h和术毕时的心率、MAP和心肌耗氧量与常温组同时点比较差异无统计学意义,均P>0.05;术中2h和术毕时,保温组的低体温和高血糖发生率明显低于常温组,差异有统计学意义,均P<0.01(χ2=9.333,21.374,7.104,9.890)。结论术中保温护理干预能够有效防止人工关节置换术患者术中体温下降,有利于控制血糖浓度,且不会对患者循环功能造成影响。
Objective To explore the effect of intraoperative warming intervention on vital signs in patients undergoing artificial joint replacement. Methods A hundred patients scheduled for artificial joint replacement were randomly divided into the room and wanning teperature group each comprising 50 cases. The former received intravenous infusion and washing in operative area at room temperature, while the latter received the intraoperative warming interventions including intravenous infusion and washing liquid warming. The levels of the body temperature,heart rate,mean arterial pressure（MAP） and myocardial oxygen consumption were compared 30rain after anesthesia,2h after operation and operation completion between both two groups,and the incidences of hypothermia and hyperglycemia were noted lh,2h after surgery and operation completion. Results The body temperature at 2h after operation and operation completion were markedly higher in the warming group than in the room temperature group, with significant differences between two groups, both P〈0.01 （t=5.432,8.485）. There were no significant differences in heart rate, MAP, and myocardial oxygen consumption at varying time point, all P〉O.05; The incidence rates for the hypothermia and hyperglycemia 2h after operation and after operation completion were considerably lower in the warming group than in the room temperature group,showing significant differences,all P〈0.01 （χ^2=9.333,21.374,7.104,9.890）. Conclusion Intraoperative warming can effectively prevent the body temperature of the joint replacement patients from decreasing, aid in controlling the blood glucose level, and have no effect on circulatory function.
出处
《中国现代医生》
2010年第4期84-86,共3页
China Modern Doctor
