采用保温措施预防前列腺电切术中低体温的体会  

Effect of Integrated Measures on Preventing Intraoperative Hypothermia during TURP

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作  者:李娟[1,2] 李文强[2] 李扬 

机构地区:[1]三峡大学第一临床医学院,湖北宜昌443003 [2]宜昌市中心人民医院手术室,湖北宜昌443003

出  处:《科教文汇》2013年第12期108-109,共2页Journal of Science and Education

摘  要:目的:探讨预防经尿道前列腺电切术(transurethralresection or prostate,TURP)中低体温的措施。方法:将116例TURP患者随机分为对照组和实验组,前者采用常规保温措施,即控制室内温湿度;实验组采用保暖措施,如包裹暴露部位、灌洗液加温、使用暖风机等。观察两组患者手术各时段体温变化及低体温的发生率。结果:两组在麻醉诱导前、麻醉后15 min体温无显著性差异,而在麻醉后30min、60 min及术毕体温有显著性差异,实验组体温高于对照组;实验组低体温发生率为36.7%,对照组为55.7%,实验组低于对照组,差异具有显著性。结论:TURP中患者低体温的发生率较高,应采用保温措施,减少低体温的发生。Objective: To observe the effect of integrated measures to decrease. The incidence of intraoperative hypothermia during TURP. Methods: 116 patients were assigned to control group and experimental group randomly, the control group was treated with ordi-nary measures, including constant temperature and humidi- ty of operation room; the experimental group was added integrated measures, including cover the exposed parts, douche fluid heat- ing, using thermal insulation blanket. The data of various periods during operation were observed in the patients with body temper- ature changes and the incidence of hypothermia event. Results: There was no significant difference before anesthesia and 15 rain after inducing of anesthesia between two groups; but there was significant difference on 30min and 60min after anesthesia, the average temperature of experiment group was higher than that of control group. The incidence of hypother-mia in experiment group was 36.7% while the control group was 55.7%, the difference was significant. Conclusion: The incidence of hy-pothermia during TURP is high; the integrated measures should be taken to prevent this event.

关 键 词:保温措施 前列腺电切术 对照组 实验组 

分 类 号:R4[医药卫生—临床医学]

 

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