全身麻醉术中体温管理的临床意义  

CLINICAI SIGNIFICANCE OF BOBY TEMPERATARE MANAGEMENT OF GENERAL ANESTHESIA

作　　者：高静[1] 李玉芝[1] 边立芳[1] 

机构地区：[1]济南市第四人民医院手术室,济南250031

出　　处：《现代预防医学》2011年第23期5031-5033,共3页Modern Preventive Medicine

摘　　要：[目的]探讨术中保温对全身麻醉后手术患者的作用。[方法]将60例全身麻醉手术患者随机分为两组。观察组34例,在常规进行手术的同时采取电子加温毯、充气温控毯及输液加温器等措施对患者进行术中保温;并保持手术间的温度,对照组26例,按常规进行手术。比较两组患者在手术结束时的体温变化、凝血功能（PT,APTT）、麻醉拔管时间、清醒时间和术后发生寒战和躁动发生率及手术部位感染（SSI）的情况。进行t检验和χ2检验。[结果]手术结束后观察组的体温为36.8℃±0.4℃,对照组为35.6℃±0.8℃,观察组显著高于对照组。观察组的PT、APTT和麻醉拔管时间分别为（13.5±1.2）s,（34.4±3.1）s和（18.2±11.3）min,均明显短于对照组。观察组无1例患者在术后发生寒战,有5例手术部位感染,而对照组有8例患者在术后发生寒战,有6例手术部位感染。[结论]术中采取综合保温措施可有效地维持全身麻醉手术患者的正常体温（36℃~37℃）,术中监测体温变化,对改善术后凝血功能、缩短拔管时间和有效缩短苏醒时间,减少术后手术部位感染发生等方面具有重要作用。[Objective]To explore the effect of insulation of surgery under general anesthesia.[Methods]60 patients with general anesthesia were randomly divided into 2 groups.34 patients were in the observation group.Except for the the conventional surgery,the electronic heating blanket,inflatable blanket and fluid heater temperature measures were taken to the patients,and the operating room temperature were maintained.In the control group,26 cases were taken the conventional surgery.We compared the the operation temperature changes after surgery,coagulation（PT,APTT）,anesthesia extubation time,awake time,and postoperative shivering,agitation rate,and surgical site infection（SSI）case in the two groups.t-test and χ2 test was taken.[Results]After surgery the body temperature of the observation group 36.8℃ ± 0.4℃,the control group 35.6℃ ± 0.8℃ and the observation group were significantly higher.In the observation group,PT,APTT and anesthesia extubation time was（13.5 ± 1.2）s,（34.4 ± 3.1）s and（18.2 ± 11.3）min,which were significantly shorter than those in control group.In the observation group,two patients had postoperative shivering,five cases had surgical site infection in the control group,8 patients had postoperative shivering,and there were six cases of surgical site infection.[Conclusion]Operation in an integrated insulation measures can be effective in maintaining general anesthesia in patients with normal body temperature（36℃-37℃）,intraoperative monitoring of body temperature,improving the postoperative coagulation,reducing time to extubation and shorten the awakening time,reducing postoperative incidence of surgical site infection are very important.

关 键 词：体温 手术 护理 凝血功能 

分 类 号：R614[医药卫生—麻醉学]