围术期低温对老年开腹手术患者C-反应蛋白的影响  

The Influence of Perioperative Hypothermia on the C-Reactive Protein(CRP) of Elderly Patients Underwent Laparotomy under General Anesthesia

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作  者:张振英[1] 彭心宇[1] 代志刚[1] 王胜[1] 张红[1] 

机构地区:[1]石河子大学医学院第一附属医院,新疆石河子832008

出  处:《中外医学研究》2012年第26期3-4,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘  要:目的:观察老年开腹手术患者麻醉术中体温变化对C-反应蛋白的影响。方法:选择全麻下行开腹手术的老年患者,麻醉手术中连续监测核心温度,并检测对应时间点机体C-反应蛋白(CRP)的含量。结果:麻醉手术中各时间点核心体温均较术前降低;术后24h内最高腋温与术前体温比较急剧升高;麻醉手术后2hCRP较术前下降;术后24hCRP较术前及麻醉手术后2h明显增高。结论:老年开腹手术患者围手术期中,CRP因机体温度的变化而不同,核心体温降低时,CRP下降。Objective :To observe the temperature changes of elderly patients underwent laparotomy in Narcotherapy and record CRP changes along with his/her temperature.Methods :We selected the elderly patients with underwent laparotomy under general anesthesia, monitor core temperature continuously in operation, and monitor CRP content in patient body corresponding with the time.Results :After anesthetic operation every core temperature correspond time reduced : 24 hours after operation highest sharp rose in armpit temperature compared with preoperation ; 2 hours after anesthetic operation CRP reduced compared with properation ; 24 hours after operation CRP was obviously highly than it when anesthetic operation had accomplished for 2 hours.Conclusion :After general anesthesia, elderly patients underwent laparotomy, CRP will be different because of body temperature changes, when core body temperature reduces, CRP will reduce too.

关 键 词:全身麻醉 围术期低温 C-反应蛋白 

分 类 号:R614.2[医药卫生—麻醉学]

 

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