术中输入温液体对开腹手术患者低体温的预防作用  

Preventive Effect of Intraoperative Infusion of Ward Fluid on the Low Temperature of Patients with Laparotomy

作　　者：章萍[1] 

机构地区：[1]三峡大学第一临床医学院手术室,湖北宜昌443003

出　　处：《中国卫生产业》2017年第24期31-33,共3页China Health Industry

摘　　要：目的研究提前预热的液体对全身麻醉下开腹手术患者低体温的预防作用。方法选取2013年5月—2014年3月该院收治的62例行开腹手术的患者为研究对象,随机分为干预组和对照组。干预组(Ⅰ组,n=31):输入预热的液体,对照组(C组,n=31):输入放置在室温中的液体。记录术中体温的变化和术后寒颤的发生率。结果在对照组中,体温在手术开始3 h降至(35.5±0.3)℃并维持在该水平直到麻醉结束;在干预组中,体温在手术开始1 h后有所下降,但在麻醉结束时体温恢复至(36.9±0.3)℃,两者差异有统计学意义(P<0.05)。与干预组比较,对照组中有11例患者发生术后寒颤,并且寒颤的程度都在2级以上;在干预组中,患者未出现寒颤,两者差异有统计学意义(P<0.05)。结论术中输入温液体可以有效预防术中低体温的发生,减少术后寒颤的发生率,提高开腹手术患者的护理质量。Objective To research the preventive effect of intraoperative infusion of ward fluid on the low temperature of patients with laparotomy. Methods 62 cases of patients with laparotomy from May 2013 to March 2014 were randomly divided into two groups with 31 cases in each, the intervention group（ group Ⅰ） was input into the warm-up fluid, while the control group（ group C） was input into the fluid in the room temperature, and the changes of body temperature and incidence rate of postoperative shivering were recorded. Results The body temperature of the control group decreased to（35.5±0.3）℃ after3 h operation and was maintained at this level until the end of anesthesia, and the body temperature of the intervention group decreased after 1h operation but recovered to（36.9±0.3）℃ at the end of anesthesia and the differences were statistically significant（P〈0.05）, and in the control group, there were 11 cases with postoperative shivering and the degree was above level 2, and in the intervention group, there were no patients with shivering, and the differences were statistically significant（P〈0.05）. Conclusion The intraoperative infusion of warm fluid can effectively prevent the occurrence of low body temperature in operation, reduce the incidence rate of postoperative shivering and improve the nursing quality of patients with laparotomy.

关 键 词：腹部手术 低体温 术中输液 护理 

分 类 号：R47[医药卫生—护理学]