围术期保温对腹部手术患者复苏及术后恢复的影响  

Perioperative thermal insulation on anabiosis and postoperative recovery of patients with abdominal surgery

作　　者：贾风菊[1] 刘惠[1] 孙奇 邵丽[1] 

机构地区：[1]新疆医科大学第一附属医院手术室,乌鲁木齐830054 [2]新疆维吾尔自治区中医医院医学研究设计与数据处理中心,乌鲁木齐830000

出　　处：《中华现代护理杂志》2016年第17期2389-2393,共5页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金资助项目（81360082）

摘　　要：目的：探讨5种保温方法对普外科开腹手术患者苏醒时间及术后恢复的影响。方法2015年1—12月随机将150例开腹手术患者分为输液输血加温＋冲洗液加温＋保温毯组（A 组）、输液输血加温＋身体包裹组（B 组）、保温毯组（C 组）、身体包裹组（D 组）及常规保温组（E 组）5组，观察并比较术后苏醒时间、术后引流量、手术部位感染和术后住院时间的变化情况。结果5种保温方法在术后1 d 引流量、术后住院时间、手术部位感染方面的差异无统计学意义（P ＞0．05）；但苏醒时间的比较差异有统计学意义（P ＜0．05），常规保温组苏醒时间最长，输液输血加温＋冲洗液加温＋保温毯组苏醒时间最短。结论针对低体温的可控因素实施体温管理积极采取有效措施，对缩短麻醉苏醒时间及术后患者亲属等待时间有重要意义，使患者能够更为平稳地度过麻醉恢复期。Objective To study effects of 5 kinds of thermal insulation methods on anabiosis time and postoperative recovery of patients with laparotomy.Methods From January 2015 to December 2015,a total of 150 patients with laparotomy were randomly divided into transfusion ＋flushing fluid warming ＋blanket heating group （Group A）,transfusion ＋body package group（Group B）,blanket heating group（Group C）,body package group （Group D）and conventional heat preservation group（Group E）.Anabiosis time,drainage,surgical site infection and postoperative hospital stay were observed and compared.Results No difference of drainage 1 day after operation, hospital stay and surgical site infection were found（P 〉0.05）;however,conventional heat preservation group had the longest anabiosis time,comparing with transfusion ＋flushing fluid warming ＋blanket heating the shortest（P 〈0.05）.Conclusions Implementing active measures on temperature management aiming at controllable factors of hypothermia can shorten anesthesia time and patients′families waiting time after operation positively and help patients undergo anesthesia recovery period more smoothly.

关 键 词：开腹手术 保温方法 苏醒时间 术后恢复 

分 类 号：R473.6[医药卫生—护理学]