三种不同保温措施对胃癌根治术患者体温变化影响的研究  

Study for the effects on body temperature changes for patients with radical gastrecotomy by three kinds of warming interventions

作　　者：李胜云[1] 魏薇[1] 潘芦翎[1] 张增梅[1] 毕慧萍[1] 陈皓[1] 王韫琦[1] 

机构地区：[1]郑州大学附属第一医院手术室,河南郑州450052

出　　处：《护士进修杂志》2011年第9期780-783,共4页Journal of Nurses Training

摘　　要：目的探讨胃癌根治术中使用薄棉被、充气式加温毯和综合保温三种不同的保温措施对患者体温变化的影响。方法选取全麻下行胃癌根治术患者120例,采用随机数字表分为三组,每组40例,分别使用薄棉被、充气式加温毯、综合加温对患者进行体温保护,记录患者入手术室时、麻醉后、切皮时、术中30、60、90、120、150、180 min、手术结束时的核心体温。结果三组患者核心体温变化趋势的差异有显著意义(P<0.05)。结论薄棉被保温效果较差;充气式加温毯可预防围手术期低体温的出现,但不能有效地维持围手术期的体温稳定;综合保温方法可以很好的保持患者体温平稳,可有效避免围手术期低体温的出现。Objective To study the effect of three kinds of warming interventions （thin quilt, heating blanket inflatable and comprehensive warming ） for patients＇ temperature changes during radical gastrectomy. Method 120 patients with radical gastrectomy were randomly divided into three groups： 40 patients in group with thin quilt, 40 patients in group with heating blanket inflatable and 40 patients in group with two warming intervention （heating blanket inflatable and fluid warmers. The core temperatures were recorded after entering the operating room, after intubation, during incision, difference time during operation （30, 60,90, 120,150, and 180 minutes, end of operation） respectively. Result The change trend of three groups of patients＂ core temperature were significant differences （P〈 0.05）. The core temperatures at time pointes of intubation, incision and difference time during operation were significant difference between thin quilt group and heating blanket inflatable, thin quilt group and comprehensive warming group（P〈0.05）, there were significant difference in core temperature at difference operation time 60 minutes later after operation among group. Conclusion Thin quilt is less effective for thermal protection. Heating blanket inflatable can prevent perio--perative hypothermia, but it＇s unstable for temperature maintaining. Comprehensive warming can effectively maintain stable temperature and prevent perioperative hypothermia.

关 键 词：保温措施 胃癌根治术 体温变化 

分 类 号：R472[医药卫生—护理学]