围术期综合保温对腹腔镜手术患者体温及术后恢复的影响  

Influence of Perioperative Warming on Body Temperature and Postoperative Recovery of Patients Undergoing Laparoscopic Surgery

作　　者：戴珩[1] 陈洪艳 宋云[1] DAI Heng;CHEN Hongyan;SONG Yun(Chongqing Maternal and Child Health Hospital,Chongqing 401147,China)

机构地区：[1]重庆市妇幼保健院,重庆401147

出　　处：《中国医学创新》2017年第32期144-148,共5页Medical Innovation of China

基　　金：重庆市卫计委医学科研项目(2017MSXM112)

摘　　要：目的:探讨围术期综合保温措施对腹腔镜手术患者体温、术后恢复及并发症的影响。方法:选择2016年7-12月行妇科腹腔镜手术的患者60例,按照随机数字表法将其分为观察组和对照组,各30例。两组麻醉方法一致,观察组给予综合保温措施,对照组采用常规保温措施。观察记录两组入室到术毕离室的体温、术中出血量、手术时间、液体输入量、苏醒时间及拔管时间;离开麻醉后监测治疗室(postanesthesia care unit,PACU)前10 min行血气分析,记录p H值和乳酸水平,观察两组在PACU期间寒颤及躁动的并发症发生情况。结果:两组手术时间、出血时间及液体输入量比较,差异均无统计学意义(P>0.05);观察组乳酸含量显著高于对照组(P<0.05);但两组血浆p H值比较,差异无统计学意义(P>0.05);观察组苏醒时间和拔管时间均短于对照组(P<0.05);观察组术后寒颤及躁动发生例数均显著低于对照组(P<0.05)。结论:围术期综合保温能有效降低围术期低体温的发生,促进术后恢复,减少术后并发症的发生,提高患者手术舒适度及满意度。Objective:To investigate the effect of perioperative warming on body temperature,postoperative recovery and complications of patients undergoing laparoscopic surgery.Method:60 cases of gynecological laparoscopic surgeries from July to December 2016 were selected,according to the random number table method,they were divided into observation group and control group,30 cases in each group.The anesthesia methods of two groups were consistent,the observation group was given comprehensive insulation measures,and control group was given conventional thermal insulation measures.The body temperature,blood loss,operation time,liquid input,recovery time and extubation time of two groups were observed and recorded,blood gas analysis was performed 10 min before leaving PACU,the pH value and lactic acid level were recorded,during PACU,the occurrence of chils and restlessness between two groups were observed.Result:The operation time,bleeding time and fluid input of two groups were compared,the difference were not statistically significan(t P>0.05),the lactic acid content of observation group was significantly higher than that of control group(P<0.05),while the pH values of the two groups were compared,the difference was not significantly different(P>0.05),the recovery time and extubation time of observation group were shorter than those of control group(P<0.05),the chils and restlessness of observation group were significantly lower than those of control group(P<0.05).Conclusion:Perioperative warming can effectively reduce the occurrence of perioperative hypothermia,also improve postoperative recovery,reduce postoperative complications,and improve patient comfort and satisfaction.

关 键 词：围术期保温 腹腔镜手术 体温 术后恢复 

分 类 号：R473.6[医药卫生—护理学]