泌尿外科低体温老年患者麻醉复苏期不同保温措施效果比较  

Comparsion of the effect of different insulation measures on anesthesia recovery period in hypothermic elderly patients of urology surgery

作　　者：邓燕[1] 赵庆兰[1] 

机构地区：[1]新疆维吾尔自治区人民医院,乌鲁木齐830000

出　　处：《国际护理学杂志》2016年第3期310-313,共4页international journal of nursing

基　　金：院内课题（20130122）

摘　　要：目的分析麻醉复苏期采用不同保温措施对泌尿外科低体温老年手术患者的影响情况。方法将120例泌尿外科低体温老年手术患者随机分为观察组和对照组进行研究。对照组采用常规调节室温加盖棉被的方法保温；观察组除以上护理措施外增加充气式保温毯包裹患者躯干部及双下肢进行保温。通过对低体温老年患者复苏期生命体征、复苏时间及并发症发生情况记录并进行分析。结果两组患者在氧饱和度、苏醒时间和寒战发生指标上有显著差异：观察组氧饱和度的变化值显著高于对照组（P〈0．05）；观察组苏醒时间显著低于对照组（P〈0．01）；在寒战发生情况上观察组患者的发生率显著低于对照组（P〈0．01）。结论经过保温护理可以明显缩短泌尿外科全麻老年患者的苏醒时间，并能改善患者氧饱和度和寒战的发生。Objective To analyze the effect of different insulation measures on anesthesia recovery period in hypothermic elderly patients in the department of urology. Methods A total of 120 cases of hypothermia elderly patients with surgery in the department of urology were randomly divided into observation group and control group. The patients in the control group adopted the conventional control method by adjusting the room temperature and being covered with the quilt to keep warm. The patients in the observation group, in addition to the above nursing measures, increased warming blanket insulation of the air insulation blanket wrapped with the trunk and lower limbs for thermal insulation. The vital signs of recovery, recovery time and complications of the hypothermia elderly patients were recorded and analyzed. Results There were significant differences in oxygen saturation, recovery time and indicators of chill between control and observation groups. The change of the oxygen saturation of the observation group was significantly higher than that of the control group （P〈0.05） . The recovery time of the observation group was significantly lower than that of the control group （P〈0. 01 ） . The incidence rate of chill of the observation group was significantly lower than that of the control group （ P〈0. 01 ） . Conclusion Warm keeping nursing care can significantly shorten the anesthesia recovery time of the elderly patients in the department of urology, improve the oxygen saturation and decrease the incidence rate of chill.

关 键 词：保温 麻醉复苏期 低体温 老年患者 泌尿外科 

分 类 号：R614[医药卫生—麻醉学]