全身麻醉术后患儿发生低体温的现况分析  

The prevalence of postanesthesia hypothermia among children

作　　者：王勤[1] 张学锋[1] 王炫[1] 栗玲[1] 张玉侠[1] 

机构地区：[1]复旦大学附属儿科医院麻醉科,上海市201102

出　　处：《中华护理杂志》2010年第8期714-715,共2页Chinese Journal of Nursing

摘　　要：目的了解患儿全身麻醉(以下简称全麻)术后低体温的发生状况与临床特征,为临床护理干预提供理论依据。方法对我院2009年5-9月,833例全麻术后收入麻醉恢复室中的患儿进行体温测量,并采集临床相关资料。结果全麻术后有50例肛温为32-35℃,未见肛温低于32℃的病例,低体温的发生率为6.0%。1岁以下患儿低体温发生最为常见(18.7%),开腹术后或麻醉时间>2h的患儿低体温发生率明显升高。术后低体温易出现皮肤花斑、哭吵不安、寒战等临床表现。结论全麻术后低体温为患儿常见的术后并发症,表现为体温轻度降低。1岁以下、行开腹术或麻醉时间>2h的患儿均为术后低体温高发人群,应为重点监测对象。Objective To investigate the prevalence and manifestations of postanesthesia hypothermia among children,and to provide reference for nursing interventions. Methods The body temperature was monitored in 833 postanesthesia children. Results The anal temperature in 50 children was ranged from 32-35℃. The incidence of postanesthesia hypothermia was 6.0%,which was higher in children younger than one-year-old （18.7%） and children with more than 2h of anesthesia. The main symptoms of postanesthesia hypothermia were skin piebaldism,crying,shivering,and so on. Conclusions Postanesthesia hypothermia is a common postoperative complication among children. Children younger than one-year-old and children with more than 2h of anesthesia are the high risk group of postanesthesia hypothermia,which should be paid more attention to.

关 键 词：儿童 麻醉 体温变化 麻醉后护理 

分 类 号：R473.72[医药卫生—护理学]