在胸腔镜小儿肺段切除术中应用充气式加温毯的效果  

The Effect of Applying Inflatable Heating Blanket in Thoracoscopic Pediatric Lung Resection

作　　者：许佳斌 卓青[1] 王捷婷 陈幼桂 王允金 XU Jiabin;ZHUO Qing;WANG Jieting;CHEN Yougui;WANG Yunjin(Operating Room,Fujian Maternity and Child Health Hospital/Affiliated Hospital of Fujian Medical University,Fuzhou Fujian 350001,China)

机构地区：[1]福建省妇幼保健院/福建医科大学附属医院手术室,福建福州350001

出　　处：《中国卫生标准管理》2021年第18期145-147,共3页China Health Standard Management

摘　　要：目的探讨充气式加温毯对行胸腔镜小儿肺段切除手术患者围术期体温、生命体征以及不良反应的影响。方法选择医院内2020年1—10月内接受胸腔镜辅助下肺段切除手术治疗的患儿80例,分为对照组38例,术中开展常规保温措施和观察组42例,术中给予充气式加温毯保温护理。观察两组患儿不同时间点体温、生命体征变化情况以及不良反应发生情况。结果(1)麻醉开始前两组患儿体温变化差异无统计学意义(P>0.05);在手术开始1 h、手术开始2 h、手术结束时及送回病房前,观察组患儿体温较稳定,与对照组比较,差异具有统计学意义(P<0.05);(2)麻醉开始前,两组患儿平均动脉压、心率、肛温各指标差异均无统计学意义(P>0.05);在手术开始1 h、手术开始2 h、手术结束时及送回病房前,观察组患儿平均动脉压、心率、肛温明显较对照组高,差异具有统计学意义(P<0.05)。(3)观察组低体温、寒颤、躁动等不良反应发生率较对照组差异具有统计学意义。结论对接受胸腔镜辅助下小儿肺段切除术治疗的患儿实施保温措施,建议使用充气式加温毯进行术中保温护理,可有效维持患儿体温和生命体征,同时降低不良反应发生率。Objective To understand the value of applying an inflatable heating blanket to the children undergoing thoracoscopic pneumonectomy.Methods Following the principle of computer random grouping,80 children who underwent thoracoscopic lobectomy in the hospital from January to October 2020 were divided into a control group(38 cases,during the operation of routine thermal insulation measures)and Observation group(42 cases,during the operation were given an inflatable heating blanket to keep warm),observe the changes of body temperature,vital signs and adverse reactions at different time points in the two groups.Results(1)Before the beginning of anesthesia,there was no significant difference in body temperature between the two groups(P>0.05);at 1 hour after operation,2 hours after operation,at the end of operation and before returning to the ward,the temperature of the children in the observation group was stable,compared with that in the control group the difference was statistically significant(P<0.05).(2)Before anesthesia began,the mean arterial pressure,heart rate arterial pressure,heart rate and anal temperature between the two groups(P>0.05);at 1 hour after operation,2 hours after operation,at the end of operation and before returning to the ward,the mean arterial pressure,heart rate and anal temperature in the observation group were significantly higher than those in the control group(P<0.05).(3)The incidence of hypothermia,chills and restlessness in the observation group was lower than that in the control group the difference was statistically significant. Conclusion The use of inflatable heating blanket for intraoperative heat preservation can effectively maintain the body temperature and vital signs of children treated with thoracoscopic pneumonectomy. At the same time, the incidence of adverse reactions was reduced.

关 键 词：手术室 保温护理 充气式加温毯 体温 生命体征 不良反应 

分 类 号：R473[医药卫生—护理学]