充气温毯加温在全麻病人复苏期的应用  

Effects of forced-air warming in preventing hypothermia After General Anesthesia in Recovery room(PACU)

作　　者：王晓霞[1] 黄太满 冯江[1] 刘伟[1] 郭志鹏[1] 俞春芳[1] 

机构地区：[1]马鞍山十七冶医院麻醉科,安徽243000

出　　处：《安徽卫生职业技术学院学报》2013年第1期40-41,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:评价充气温毯加温对全麻病人在复苏期间的影响。方法:将全麻下择期开腹手术的80例病人,随机分为温毯组和对照组,每组40例。温毯组采用下半身充气温毯加温,对照组只用棉毯覆盖。记录入手术室时(0min)和PACU每间隔20min一次的腋下温度,并做一次血气分析,记录复苏时间和心动过缓和术后寒颤的发生率。结果:温毯组PACU 20min、40min及60min之腋下温度高于0min;而对照组手术PACU 20min、40min及60min之腋下温度低于0min;温毯组PACU 20min、40min及60min之腋下温度高于对照组,P值均<0.01。同时乳酸值低于对照组(P<0.01)。温毯组复苏时间及心动过缓和术后寒颤的发生率低于对照组(P<0.01或P<0.05)。结论:充气温毯加温对于预防全麻术后复苏病人低温以及缩短复苏时间具有明显效果。Objective：To evaluate the effects of forced-air warming in preventing hypothermia after general anesthesia in recovery room. Methods：Eighty patients undergoing elective open abdominal surgery lasting longer than 2 hours with general anesthesia were randomized equally to two groups：the forced-air-warming group received lower body forced-air warming and control group being covered with two cotton blankets.The ambient temperature was kept near 22℃ .Axillary temperature and blood gas analysis readings were recorded at 20min intervals for 1 hours in recovery room （PACU）. Results：In the forced-air-warming group,the axillary temperatures at 20min,40min and 60min increased significantly than 0min.in the control group,the axillary temperatures at 20min,40min and 60min decreased significantly than 0min.The forced-air-warming group had significantly higher axillary temperatures and lower lactic acid readings at 20min,40min 60rain than the control group（P〈0.01 ）. In addition, there was a significant difference in the time of patient in PACU and the incidence of bradycardia and postoperative shiver between the two groups （P〈0.01 ,P〈0.05）.Conclusions：The forced-air warming was more efficient in preventing hypothermia in PACU and make the time of oatient in PACU shorten.

关 键 词：充气温毯 低体温 

分 类 号：R614.2[医药卫生—麻醉学]