术中保温对全麻患者术后苏醒延迟及寒战的影响  

Clinical observation on the effects of intraoperative warming for postoperative delayed recovery and shivering in patients after general anesthesia

作　　者：许娜[1] 

机构地区：[1]首都医科大学附属北京朝阳医院手术室,北京100020

出　　处：《中国医药导报》2011年第31期173-174,共2页China Medical Herald

摘　　要：目的:探讨全身麻醉下行开腹手术患者术中保温对术后苏醒延迟及寒战的影响。方法:选择择期ASAⅠ～Ⅱ级50～60岁开腹子宫全切术女性患者120例,随机分为两组:A组(60例)术中未进行任何保温措施,B组(60例)术中使用热风毯与加温输液仪。回顾性分析这两组患者全麻后苏醒延迟及寒战的发生率及原因。结果:A组患者发生术后苏醒时间为(8.7±1.9)min,寒战发生率为31.7%;B组术后苏醒苏醒时间为(5.3±1.1)min,寒战发生率为6.7%。结论:术中保温是一种预防术后寒战、促进全麻苏醒的简捷有效的方法。充分的术中保温是保证手术成功的重要环节,并直接影响疾病的预后。Objective： To investigate the effects of intraoperative warming for postoperative delayed recovery and preservation of shivering after general anesthesia in patients undergoing abdominal surgery. Methods： 120 female abdominal hysterectomy patients who were ASA I - II grade and 50 to 60 years old were divided into two groups randomly. Group A （60 cases） did not have any insulation measures in surgery, group B （60 cases） were performed intraoperative infusion of hot air blanket and heating apparatus during opertion. These two sets of delayed recovery after general anesthesia and the incidence and causes chills were retrospective analysed. Results： Group A of patients with postoperative recovery time was （8.7±1.9） min, and the incidence of shivering were 31.7%. Group B patients with postoperative recovery time was （5.3±1.1） min, and the incidence of shivering rate was 6.7%. Conclusion： Intraoperative warming is the simple and effective method to prevente the postoperative shivering, and promote recovery from general anesthesia. Sufficient intraoperative warming is an important part to ensure successful operation and directly affect the prognosis.

关 键 词：全麻 术中保温 苏醒延迟 寒战 

分 类 号：R473.6[医药卫生—护理学]