综合保温措施对小儿全身麻醉后的体温及术后切口感染的影响  

The effect of comprehensive heat preservation measures on body temperature and postoperative wound infection of children after general anesthesia

作　　者：朱素洁[1] 古力帕日.克力木 张蕾[1] 

机构地区：[1]新疆医科大学第一附属医院麻醉科,乌鲁木齐830054

出　　处：《山西医药杂志》2017年第3期247-249,共3页Shanxi Medical Journal

基　　金：新疆维吾尔自治区自然科学基金(2014211C062)

摘　　要：目的探讨综合保温措施对小儿全身麻醉后的体温及术后切口感染的影响,为手术期间患儿提供最佳的保温措施。方法择期全身麻醉下腹部手术的患儿80例,采用信封法随机分为对照组和综合保温组各40例。所有的患儿均给予常规保温措施。综合保温组除采用常规保温措施外,还采用4种保温措施:加热毯,输液(输血)加温,身体包裹,冲洗液加温。记录2组患儿在术前、术中30、60、90min以及手术结束时即刻的鼻咽温变化,术中低体温以及术后切口感染的发生情况。如患者出现低体温(体温<36.5℃),则采用其他保温措施。结果综合保温组低体温的发生率较对照组低(P<0.05),2组患儿术中最低体温及不同时间点的体温变化及术后切口感染的发生率差异没有统计学意义(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 investigate the effect of comprehensive heat preservation measures on body temperature and postoperative wound infection of children after general anesthesia,and to provide the best heat preservation measures during the operation for children.Methods A total of 80 pediatric patients scheduled for elective surgery were randomized divided into comprehensive heat preservation measures group and control group,with 40 cases in each group.During the surgery,all the patients were covered with quilts,and room temperature was controlled within 24-26℃.In comprehensive heat preservation measures group,besides the conventional heat preservation measures,pediatric patients also use four kinds of heat preservation measures：heating blanket,infusion（transfusion）heating,body wrap,rinses heating.We recorded the changes of the nasopharyngeal temperature in the preoperative,intraoperative 30,60,90 minutes and at the end of the immediate operation and the happening of hypothermia and the occurrence of postoperative incision infection in two groups.If the infant patients experience the low temperature（temperature〈36.5 ℃）,other measures for insulation were adopted.ResultsThe incidence of low body temperature in comprehensive heat preservation measures group was lower than the control group（P〈0.05）,there was no statistical differences in the lowest temperature intraoperative and different time points of temperature changes and the occurrence of postoperative incision infection between the two groups（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：体温 儿童 学龄前 麻醉 全身 

分 类 号：R726.1[医药卫生—儿科]