体温保护对全身麻醉开腹患者术中应激及术后苏醒影响的应用  

Application of body temperature protection on intraoperative stress and postoperative recovery in patients with general anesthesia

作　　者：董大龙 张明明 田中根 李胜锋 王安奎 Dong Dalong;Zhang Mingming;Tian Zhonggen;Li Shengfeng;Wang Ankui(Department of Surgical Anesthesiology,Ordnance Industry 521 Hospital,Xi'an,Shaanxi,710065,China;Department of Medical office,Ordnance Industry 521 Hospital,Xi'an,Shaanxi,710065,China)

机构地区：[1]兵器工业五二一医院手术麻醉科,陕西西安710065 [2]兵器工业五二一医院医务处,陕西西安710065

出　　处：《当代医学》2019年第27期43-45,共3页Contemporary Medicine

摘　　要：目的评价体温保护对全身麻醉开腹患者术中应激反应及术后苏醒的影响。方法选取2015年8月至2016年8月本院收治的全身麻醉开腹手术患者100例,采用随机数字表法的分组形式将其平均划分为实验组与对照组,每组50例。对照组不做保温处理,实验组采用体温保护措施,对比两组手术之前、手术过程中与手术之后的体温指标、手术之后寒颤及躁动发生率、苏醒延迟发生率。结果实验组的体温指标、术后寒颤与躁动、苏醒延迟发生率优于对照组,实验组寒颤与躁动发生率为2.0%,对照组为24.0%,组间对比差异有统计学意义(P<0.05)。结论在全身麻醉开腹手术患者护理工作中,采用体温保护方式能够预防手术前后体温指标的大幅度变化,加快苏醒速度,降低不良反应发生率,具有较高的推广优势。Objective To evaluate the effect of body temperature protection on intraoperative stress response and postoperative recovery in patients with general anesthesia.Methods One hundred patients with general anesthesia open surgery admitted to our hospital from August 2015 to August 2016 were randomly divided into experimental group and control group by grouping with random number table method,50 cases in each group.The control group was not treated with heat preservation.The experimental group used body temperature protection measures to compare the body temperature indexes before and during the operation,the incidence of chills and agitation after surgery,and the incidence of delayed recovery.Results The temperature of the experimental group,postoperative chills,agitation,and delayed recovery were superior to the control group.The incidence of chills and agitation in the experimental group was 2.0%,and that in the control group was 24.0%.Comparison between groups showed a difference was statistically significant(P<0.05).Conclusion In the nursing work of general anesthesia open surgery,the use of body temperature protection can prevent large changes in body temperature indicators before and after surgery,speed up the recovery,reduce the incidence of adverse reactions,and has a higher promotion advantage.

关 键 词：体温保护 全身麻醉 开腹手术 术后苏醒 

分 类 号：R47[医药卫生—护理学]