摘要
目的:探讨围术期辅助使用温毯机对老年髋关节置换手术患者脑代谢及术后恢复的影响。方法:选取2019年1月~2020年6月本院进行髋关节置换手术的老年患者114例,根据随机数字表分为对照组(57例)与研究组(57例),对照组患者在围术期予常规保温措施,研究组患者围术期予常规保温+温毯机保温措施,比较两组患者麻醉前(T0),手术后15min(T1),手术结束时(T2)的脑氧代谢指标[颈内静脉血氧分压(PjvO_(2))、颈内静脉血氧饱和度(SjvO_(2))、颈静内血氧含量(CjvO_(2))],鼻咽部温度及术后寒战发生情况、拔管时间、完全清醒时间。结果:麻醉前(T0)两组患者各项脑氧代谢指标比较(P>0.05),T1、T2两组患者PjvO_(2)、SjvO_(2)、CjvO_(2)均明显下降,并且对照组患者PjvO_(2)、SjvO_(2)、CjvO_(2)水平均明显低于研究组患者(P<0.05);麻醉前(T0)两组患者鼻咽部温度比较(P>0.05),T1、T2时刻对照组患者鼻咽部温度均明显低于研究组患者(P<0.05);较对照组患者,研究组患者术后寒战发生率明显更低(P<0.05),研究组患者拔管时间、完全清醒时间也明显更短(P<0.05)。结论:髋关节置换手术在围术期辅助使用温毯机保温可有效维持老年患者体温,改善患者脑氧代谢,减少术后寒战发生,有利于患者术后恢复,缩短拔管时间与完全清醒时间。
Objective:To investigate the effect of warm blanket machine on cerebral metabolism and postoperative recovery in elderly patients undergoing hip replacement.Methods:114 cases of elderly patients with joint replacement surgery in our hospital from January 2019 to June 2020 were selected and randomly divided into control group(57 cases)and study group(57 cases).The control group was given conventional heat preservation measures during the perioperative period,while the study group was given conventional heat preservation+warm blanket machine heat preservation measures during the perioperative period.Compare the cerebral oxygen metabolism indexes of the two groups of patients before anesthesia(T0),15 minutes after the operation(T1),and at the end of the operation(T2)[internal jugular venous oxygen partial pressure(PjvO_(2)),internal jugular venous oxygen saturation(SjvO_(2)),cervical intravenous blood oxygen content(CjvO_(2))],nasopharyngeal temperature and postoperative chills,extubation time,complete awake time.Results:Before anesthesia(T0),the cerebral oxygen metabolism indexes of the two groups were compared(P>0.05),PjvO_(2),SjvO_(2) and CjvO_(2) of T1 and T2 groups were significantly decreased,and the levels of PjvO_(2),SjvO_(2) and CjvO_(2) of the control group were significantly lower than those of the study group(P<0.05);before anesthesia(T0),the nasopharyngeal temperature of the two groups was compared(P>0.05),and the nasopharyngeal temperature of the control group was significantly lower at T1 and T2 Compared with the control group,the incidence of postoperative shivering in the study group was significantly lower(P<0.05),and the extubation time and fully awake time in the study group were also significantly shorter(P<0.05).Conclusion:The auxiliary use of warm blanket machine in hip replacement surgery during perioperative period can effectively maintain the body temperature of elderly patients,improve the cerebral oxygen metabolism of patients,reduce the occurrence of postoperative shivering,which is conducive to postoperative recovery,shorten the extubation time and fully awake time.
作者
吴城孝
朱红花
WU Cheng-xiao;ZHU Hong-hua(Department of Anesthesiology,Jinshan Hospital Affiliated to Fudan University,Shanghai 201508)
出处
《中国医疗器械信息》
2021年第24期4-6,共3页
China Medical Device Information
关键词
围术期
温毯机
髋关节置换手术
脑代谢
perioperative period
warm blanket machine
hip replacement surgery
brain metabolism
