保温对全麻下肺癌手术麻醉恢复期患者的影响  

Effecfs of temperature intervention on anesthesia recovery period in patients undergoing thoracotomy perioperation

作　　者：刘瑞莉[1] 蔡树云[1] 

机构地区：[1]广东医学院附属医院手术室,广东湛江524001

出　　处：《南方护理学报》2005年第6期4-5,共2页Nanfang Journal of Nursing

摘　　要：目的观察保温对全麻下肺癌手术麻醉恢复期患者的影响.方法选择美国麻醉医师协会术前患者状况评分Ⅰ～Ⅱ级且在全麻下行开胸肺癌手术患者60例,采用随机数字表随机分为两组,常温组及保温组,两组均在室温下手术,保温组输液输血采用电子液体加温仪保温,冲洗液用水浴箱加温到37℃,风热毯机保持体表温度等多种保温措施.观察两组患者术前、术毕及术毕1 h血压、心率、体温的变化,以及记录气管拔管时间、苏醒时间、心律失常、寒颤及躁动的发生率.结果与常温组相比,保温组患者气管拔管时间、苏醒时间缩短,寒颤、躁动、心律失常、血压升高、心率加快等发生率明显减少.各项指标分别经统计学处理,有显著性差异,P＜0.01或P＜0.05.结论术中采取保温措施可以明显缩短患者麻醉恢复期,减少各种并发症的发生.Objective To investigate the effects of temperature intervention on anesthesia recovery period in operation. Methods 60 cases undergoing thoracotomy were randomly divided into two groups: control group and warmed group. All the patients were given general anesthesia under room temperature. But in the warmed group, the nasopharyn temperature was maintained above 36℃ by an electronic liquid warmer and a patient warm system. BP, HR, nasopharyn temperature were monitored during surgery. The awaking time, drainage time, heart arrhythmia, shiver and restless movement were recorded before, during and after operation. Results Compared with the warmed group, BP was higher, HR was faster; awaking time and drainage time were longer than those in conventional group. The incidence of shiver and restless movement were also markedly higher in conventional group,with significances(P<0.01 or P<0.05). Conclusion The measures on temperature intervention can significantly fasten the anesthesia recovery and reduce complications induced by hypothemia.

关 键 词：体温 麻醉恢复期 胸部 外科 

分 类 号：R472.3[医药卫生—护理学]