摘要
目的：探讨在麻醉复苏室（PACU）采用不同保温措施对全身麻醉下行腹部手术后老年患者体温变化的影响。方法：选择全身麻醉下行腹部手术老年患者60例,按数字法随机分为对照组（A组）和保温组（B组）,每组30例。两组均在室温下,A组采用常规棉被覆盖加输注常温液体保温措施,B组采用充气式加温毯42~46℃加输注37℃保温液体保温措施。记录两组患者进入PACU时的体温（T0）、入PACU 10 min后的体温（T1）、入PACU 30 min后的体温（T2）、入PACU 60 min后的体温（T3）;记录两组患者在麻醉苏醒期完全清醒的时间;记录两组患者24 h内并发症的发生情况。结果：与A组患者体温比较,B组患者在进入PACU后T1、T2、T3,差异有统计学意义（P〈0.05）;B组低体温的发生率明显低于A组,差异有统计学意义（P〈0.05）;与A组患者比较,B组患者在PACU完全清醒的时间缩短,差异有统计学意义（P〈0.05）;两组患者24 h内未见明显并发症。结论：在PACU采用充气式加温毯42~46℃加输注37℃保温液体保温措施可以有效预防低体温的发生,明显缩短老年患者麻醉苏醒期的时间,减少各种并发症的发生,使老年手术患者平稳度过麻醉苏醒期。
Objective Discussion on anesthesia recovery room（ PACU） with different insulation measures on general anesthesia in elderly patients after abdominal surgery the effects of temperature change. Method To choose general anesthesia in elderly patients with abdominal operation in 60 cases,according to the number they were randomly divided into control group（ group A） and holding group（ group B）,and each group of 30 patients. Both groups were at room temperature,A group using conventional infusion room temperature liquid insulation,B group using gas- heated carpet 42 ~ 46℃ plus infusion of 37 degrees centigrade heat preservation liquid insulation. Record body temperature at the two groups into the PACU（ T0）,into the PACU 10 min of body temperature（ T1）,into the PACU 30 min of body temperature（ T2）,into the PACU 60 min of body temperature（ T3）; record two groups of patients in anesthesia recovery period of time wide awake. 24 h incidence of complications recorded two groups. Results Compared with group A patients＇ body temperature,after the group B patients in the PACU,T1,T2,T3,there was significant difference（ P〈0. 05）; Group B hypothermia incidence was significantly lower in group A（ P〈0. 05）,compared with patients in group A and group B patients in the PACU- awake time shortened,there was significant difference（ P〈0. 05）. Two groups of 24 h in patients with no significant complications. Conclusion In PACU inflatable heat insulation blanket infusion of 42 ~ 46℃ plus 37 ℃ the liquid insulation can effectively prevent the occurrence of low body temperature,shorten the time of elderly patients in anesthesia recovery stage,reduce the occurrence of various complications,so that elderly patients get through anesthesia recovery period.
出处
《吉林医学》
CAS
2015年第16期3612-3613,共2页
Jilin Medical Journal
关键词
保温措施
麻醉复苏室
老年患者
Thermal insulation measures
PACU
In elderly patients
