防范婴幼儿患者全身麻醉后低体温的体温保护策略研究  

Research of Temperature Protection Strategy of Precaution Hypothermia in Infant Patients after General Anesthesia

作　　者：李涵霖[1] 朱素洁[2] 熊金敏 陈琛[1] 宣燕[2] 

机构地区：[1]新疆医科大学临床医学院,乌鲁木齐830054 [2]新疆医科大学第一附属医院麻醉科,乌鲁木齐830054

出　　处：《新疆医学》2016年第6期616-618,共3页Xinjiang Medical Journal

基　　金：新疆维吾尔自治区自然科学基金面上项目(2014211C062);新疆医科大学大学生创新性实验计划项目(CX2015082)

摘　　要：目的：分析行外科手术的婴幼儿患者全身麻醉后低体温发生率，探讨综合保温措施应用于婴幼儿患者以防范全麻后低体温的效果。方法择期全麻下行腹部手术的婴幼儿患者60例，随机分为对照组和综合保温组，每组30例。所有的患儿均给予常规保温措施：棉被或敷料覆盖肢体、室温控制在24～26℃。综合保温组除常规保温措施外，还将患儿的双上肢，双大腿下1/3至足部及肩颈部用棉垫包裹，术前将电热加热毯铺于床上（温度设定为38.5℃）的体温保护措施。对照组除实施常规保温措施外，不另外实施其他保温措施。记录两组患儿的鼻咽温变化及低体温的发生情况。如患者出现低体温（体温＜36.5℃），则采用其他保温措施。结果综合保温措施组低体温的发生率较对照组低（P＜0.05），两组患儿术中最低体温及不同时间点的体温变化没有统计学差异（P＞0.05）。结论为维持患儿的正常体温，提高全身麻醉后患儿的安全性，除常规保温措施外，还应采用综合保温措施以维持患儿体温。Objective To analysis the incidence of low body temperature of infant patients after general anesthesia during surgical operation, and to discuss the effect of comprehensive heat preservation measures applied to infants to prevent hypothermia after general anesthesia. Methods A total of 60 infant patients scheduled for elective surgery were randomized divided into comprehensive heat preservation measures group and control group, with 30 cases in each group. During the surgery, all the patients were covered with quilts, and room temperature control in 24~26℃. In comprehensive heat preservation measures group, patients＇ upper limbs＇ 1/3 of lower limbs, feet, shoulder and neck were covered with cotton pads, and electric blankets were used to cover the bed which allowed patients to lie on with the temperature being set to 38.5 ℃. The control group was no longer used other heat preservation measures, in addition to the conventional heat preservation measures. Changes of nasopharyngeal temperature and the happening of hypothermia were collected in two groups. If the infant patients experienced the low temperature （temperature〈36.5）, other measures for insulation were adopted. Results The incidence of low body temperature in comprehensive heat preservation measures group was lower than that of the control group （P〈0. 05）, there was no statistical difference between two groups in intraoperative and different time point of temperature （P〉0.05）. Conclusion In order to maintain the patient＇s normal body temperature, to improve the safety of the children after general anesthesia, in addition to conventional heat preservation measures, children with comprehensive heat preservation measures should be adopted in order to maintain body temperature.

关 键 词：鼻咽温 婴幼儿 全身麻醉 综合保温措施 

分 类 号：R614[医药卫生—麻醉学]