手术后发生寒战反应相关因素研究  

Probe Into the Related Factors of Post - Surgical Patients With Shiver Reaction and Nursing Care

作　　者：刘秀娥[1] 陈惠珍[1] 李静[2] 陈关怀[2] 

机构地区：[1]100094,中国人民解放军第二六一医院 [2]100088,中国人民解放军二炮总医院

出　　处：《护理研究》2002年第6期339-341,共3页Chinese Nursing Research

摘　　要：为探索一种解除术后寒战反应的理想方法,对1263例手术病人进行了观察,将发生寒战反应的489例病人随机分为4组。Ⅰ组采用热水袋升温法,Ⅱ组给予异丙嗪肌肉注射,Ⅲ组给予阿托品静脉注射或茂菲氏滴管加入,Ⅳ组常规加盖棉被保暖。观察不同年龄、性别病人术后寒战发生率、寒战消除时间及疗效。结果显示:不同性别病人术后寒战发生率差异无显著性,儿童及老年人易发生术后寒战,Ⅲ组疗效明显优于其他3组。提示,护理中应重视儿童及老年人的保暖工作,发生寒战反应者可采用阿托品静脉注射。To explore an ideal way to get rid of post - surgical shiver reaction, 1 263 cases of surgical patients were observed. Among them, 489 cases had shiver reaction and they were divided into 4 groups randomly. Patients in group I were given hot water bag to warm up. Patients in group Ⅱ were injected phenergan intramuscularly. In group Ⅲ, patients were given at-ropine intravenously injection. In group Ⅳ, Patients were covered with more quilts as routine heat preservation. The incidence of post - surgical shiver, the time shiver disappeared, and the effects of treatment in different age and different sex of patients were observed. Results showed that there was no difference in terms of sex to develop the post - surgical shiver. Both children and aged are prone to have shiver after operation. As for curative effects, patients of group Ⅲ were the best among the 4 groups. Suggested that nursing staff should pay attention to heat preservation in children and aged patients. In case of shiver reaction developed, atropine intravenously injection should be given to patient.

关 键 词：外科护理 寒战 阿托品 异丙嗪 术后寒战反应 

分 类 号：R473.6[医药卫生—护理学]