两种复温法对低体质量指数大肝癌术后低体温患者复温效果的观察  

Comparison of composite insulation or a forced-air blanket during rewarming of hypothermic patients with large hepatocellular carcinoma and low body mass index

作　　者：陈似霞[1] 陈冬梅[1] 杨海清[1] 莫新少[1] 杨一兰[2] 彭涛[1] 

机构地区：[1]广西医科大学第一附属医院肝胆外科,南宁530021 [2]广西医科大学第一附属医院麻醉科,南宁530021

出　　处：《中国癌症防治杂志》2016年第3期184-187,共4页CHINESE JOURNAL OF ONCOLOGY PREVENTION AND TREATMENT

基　　金：广西区域性高发肿瘤早期防治研究重点实验室研究项目(GK2013-13-A-01-04);广西卫生厅自筹科研课题(Z2013078)

摘　　要：目的比较复合保温法及充气式加温毯法对低体质量指数大肝癌术后低体温患者复温的效果。方法采用单纯随机抽样的方法,将54例确诊为原发性肝癌并低体质量指数大肝癌术后轻度低体温的患者分为两组,在麻醉恢复期间分别应用复合保温法和充气式加温毯法为患者复温,比较两组患者的复温时间、体温恢复速度、自主呼吸恢复时间、麻醉清醒时间、寒战发生情况等。结果复合保温组患者复温速度为(0.58±0.12)℃/h,较充气式加温毯组快(P<0.05);复温时间、麻醉清醒时间、自主呼吸恢复时间和麻醉恢复室(post anesthesia care unit,PACU)停留时间分别为(76.11±18.57)min、(56.85±17.68)min、(32.00±19.13)min和(94.33±18.26)min,均较充气式加温毯组所需时间短(P<0.01)。结论对低体质量指数大肝癌术后低体温患者使用复合保温法更有利于患者体温恢复,且安全有效。Objective To compare the use of composite insulation or a forced-air blanket for rewarming hypothermic patients with large hepatocellular carcinoma and low body mass index. Methods Hypothermic patients（n =54） undergoing surgery for primary hepatocellular carcinoma were randomized to undergo rewarming using either composite insulation or a forced-air blanket. The two groups were compared in terms of rewarming time and speed,spontaneous breathing recovery time,waking time and shivering. Results The composite insulation group experienced faster rewarming rate（0.58 ±0.12℃ /h） as well as shorter rewarming time（76.11±18.57 min）,waking time（56.85±17.68 min）,spontaneous breathing recovery time（32.00±19.13 min）and postanesthesia care unit residence time（94.33±18.26 min） than the forced-air blanket group（P〈0.05）. Conclusion These results suggest that composite insulation is safe,effective and superior to forced-air blankets when rewarming hypothermic patients with large hepatocellular carcinoma and low body mass index.

关 键 词：肝肿瘤 低体质量指数 低体温 复温 复合保温法 充气式加温毯法 麻醉恢复期 

分 类 号：R735.7[医药卫生—肿瘤]