手术后患者发生寒战反应的因素分析及对策  

Analysis on factors of postoperative shivering after general anesthesia and strategies

作　　者：周慧娟[1] 张迎黎[1] 

机构地区：[1]浙江省肿瘤医院,浙江杭州310022

出　　处：《护理与康复》2006年第6期411-412,共2页Journal of Nursing and Rehabilitation

摘　　要：目的探讨手术后发生寒战的因素,并寻找相应对策。方法回顾性查阅754例全麻术后患者的护理资料,运用统计学方法分析了体腔内、外手术患者的寒战发生率及性别、年龄、体重、手术时间和术中失液量与寒战发生的关系。结果754例中发生寒战91例。体腔内手术患者寒战发生率为17%,体腔外手术患者为2%,两者经x2检验,差异统计学意义;寒战的发生与手术种类、体重、手术时间、术中丢失液体量关系,经t检验,差异有统计学意义,而与患者的性别、年龄等,经t检验,差异无统计学意义。结论预防手术后患者的寒战反应,要做好体温、室温护理,术中要及时补液、注意病情观察等。objective To discuss the factors of inducing tstoperative shivering after general anesthesia in order to find out the corresponding nursing strategies. Methods Nursing charts of 754 cases with operation in general anesthesia were reviewed. The relationship between shivering incideme and operation typ^s, patients gender,age, weight, duration of operation time, body fluids lost are analyzed by statistics. Result 91 cases among 754 suffered from postoperative shivering. The percentage of shivering in cidence after inside-body operation is 17% whileafter out-side body operation is 2%, the data has treated by t-test that showered signlfcaut different. There were signifcant differences in relationship between shivering and operation types, length of operction, volumes of body fluid lost during operation, but were no significant differences about gender, age and body weight. Conclusions To prevent postoperative shivering after general anesthesia, nurses should keep patients＇ body temperature, give suitable room- temperature, keep efficiency body fluids during operation and pay more attention to observation.

关 键 词：手术 寒战 护理 

分 类 号：R614.2[医药卫生—麻醉学]