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术中低体温对患者麻醉恢复期的影响及护理干预 被引量:237

Nursing intervention and effects of hypothermia in postoperation to postanesthesia recovery period
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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 6 0例 ,ASAⅠ~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 2 8~ 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。 Objective: To investigate the effects of hypothermia in operation on recovery from anesthesia. Methods: 60 patients undergoing abdome operation were randomly divided into two groups. All patients were generally anesthetized. In the conventional group(n=30) rectal temperature was 34.2℃ to 35.5℃. In the warmed group(n=30) rectal temperature was maintained between 35.6℃ to 36.5℃. BP, HR, rectal temperature, extubation time, awaking time, drainage volume, urinary volume, shiver and restless movement were recorded before, during and post operation. Results: In conventional group, BP was higher , HR was faster , awaking time was longer , drainage volume was more than those in warmed group. The incidence of shiver and restless movement were also markedly higher in conventional group. Conclusion: Postoperative hypothermia can increase general O 2 consumption and the incidence of postanesthesia complications. The patients temprature should be monitored during operation. In order to decrease the complications, we should increase the temperature in the operation room and all the fluid received by the patients.
出处 《中华护理杂志》 CSCD 北大核心 2003年第3期176-178,共3页 Chinese Journal of Nursing
关键词 低温 手术中护理 全身麻醉 麻醉恢复期 Hypothermia Intraoperavive care Anesthesia,general Anesthesia recovery period
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参考文献8

  • 1蔡文训,董振明,康荣田,韩建民,曹阳,刘金凤.低温对麻醉犬血液动力学及流变学的影响[J].中华麻醉学杂志,2000,20(5):286-289. 被引量:88
  • 2[2]Jurkovich GJ,Greiser WB,Larteman A,et al.Hypothemia in traumavictims:An ominous predictor of survival.J Trauma,1987,27:1019-1024.
  • 3[3]Larry M,Gentilello MD,Vicente CMD,et al.Continuous arterivenous rew-arming:Experimental results and thermodynamic model simulation of treatment for hypothermia. Trauma,1990,30:1436-1448.
  • 4[4]Sessler DI.Mild perioperative hypothermia.N Engl J Med,1997,336:1730.
  • 5[5]Steven MF,Michael SH,Michael JB,et al.Experimental hypothemia and rewarming:Changes in mechanical function and metabolism of rat heart.J Appl Physiol,1996,80:291-297.
  • 6[6]Hessel EA,Schmer G,Dillard DH.Platelet kinetics during deep hypothemia .J Surg Res,1980,28:22-24.
  • 7[7]Frank SM,Beattie C,Christopherson R,et al.Epidural versus general ancathesia ambient operation room temperature and patient age as of inadvertent hypothemia.Anesthesiology,1992,77:252-257.
  • 8邹武 毕敏.硬膜外阻滞麻醉中寒颤与体温中枢调节反应的关系[J].中华麻醉学杂志,1996,16(2):204-204.

二级参考文献1

  • 1Liu B,Cryobiol,1990年,27卷,539页

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