加温输液对直结肠癌手术患者复苏的影响  

Effect of heated transfusion on recovery of patients undergoing colorectal cancer surgery

作　　者：黄秀丽[1] 封静[1] 

机构地区：[1]顺德第一人民医院手术室,广东佛山528300

出　　处：《现代临床护理》2010年第3期23-24,15,共3页Modern Clinical Nursing

摘　　要：目的探讨加温输液对直结肠癌手术患者复苏的影响。方法选择全麻下行直结肠癌手术的患者60例,随机分为观察组和对照组各30例,对照组给予输入室温液体,观察组给予输入经电子液体加温仪加温的液体。观察两组患者术前、术后的血压、心率、体温、拔管时间、清醒时间及寒战的发生率。结果术前两组患者体温、血压及心率的比较,均P>0.05,差异无统计学意义;术后观察组患者体温高于对照组,血压及心率低于对照组,寒战发生率低于对照组,拔管时间和完全清醒时间短于对照组(均P<0.05)。结论加温输液能降低直结肠癌术后复苏患者生命体征异常及寒战的发生率、缩短拔管时间和完全清醒时间。Objective To explore the effect of heated transfusion on recovery in patients undergoing colorectal cancer surgery.Methods Sixty patients receiving operation of colorectal cancer were randomly divided into the observation group and the control group,30 in each group.The patients in the control group received the transfusion of room temperature solution.In the observation group,the heated solution was transfused.BP,HR,rectal temperature,extubation time,awaking time and shiver movement were recorded before,during and two hours after operation.Results There was no difference in BP,HR,temperature before operation（P 0.05）.There were significant differences in BP,HR,rectal temperature,extubation time,awaking time and shiver movement between the two groups（all P 0.05）.Patients in the observation group had normal range of BP,HR and temperature,shorter extubation time and awaking time,and lower incidences of shivering movement.Conclusion Heated transfusion could reduce the abnormality of vital signs and incidences of shivering movement,shorten extubation time and awaking time.

关 键 词：加温输液 低体温 围手术期 复苏 直结肠肿瘤 

分 类 号：R472.3[医药卫生—护理学]