老年肱骨近端骨折内固定术围手术期保温方案的临床效果  

The Clinical Effect of Perioperative Temperature Preservation in Internal Fixation for Older Proximal Humeral Fracture Patients

作　　者：刘昱江[1] 晏波 LIU Yujiang;YAN Bo(Department of Emergency Medicine,Yinchuan First People's Hospital,Yinchuan 750001;Department of Orthopedics,Yinchuan First People's Hospital,Yinchuan 750001)

机构地区：[1]银川市第一人民医院急诊医学科,银川750001 [2]银川市第一人民医院骨科,银川750001

出　　处：《宁夏医科大学学报》2021年第12期1284-1287,共4页Journal of Ningxia Medical University

摘　　要：目的观察围手术期保温方案在老年肱骨近端骨折内固定术中的应用效果。方法纳入肱骨近端骨折的老年患者30例,根据不同的围手术期体温管理方法分为常规组和保温组,各15例,行肱骨近端内固定手术中分别给予常规手术环境温度和应用保温方案。手术过程中动态监测患者鼓膜温度、麻醉苏醒时间和不良反应发生情况。结果至伤口包扎完毕,常规组患者低体温发生率(60.00%)高于保温组(13.33%)(χ^(2)=7.03,P=0.008)。保温组患者麻醉苏醒时间[(7.2±1.9)min]短于常规组[(9.4±2.3)min](t=2.85,P=0.007)。常规组患者寒颤和术后发热发生率均高于保温组(P均<0.05)。结论围手术期应用保温方案能有效减少老年肱骨近端骨折内固定手术患者低体温的发生,缩短麻醉复苏时间,并减少寒颤、术后发热等不良反应,有利于患者的围手术期安全。Objective To investigate the clinical effect of perioperative temperature preservation protocol in the older internal fixation for proximal humeral fracture patients.Methods Thirty older patients with proximal humeral fracture allocated as regular treatment group and temperature preservation group according to different perioperative temperature management methods,with 15 cases in each group,and received perioperative temperature preservation and regular treatment respectively.The dynamic tympanic temperature,awakening time of anesthesia,and adverse reactions were recorded during the operation.Results A decreasing trend of temperature was found in the temperature preservation group(60.00%)during the operation,and nine hypothermia cases occured,while two hypothermia cases were identified in the regular treatment group(13.33%),with statistical significance(χ^(2)=7.03,P=0.008).Awakening time of anesthesia in the temperature preservation group[(7.2±1.9)min]was shorter than that in the regular treatment group[(9.4±2.3)min](t=2.85,P=0.007).Meanwhile,a lower proportion of chills and postoperative fever in the regular treatment group than that in the temperature preservation group(P all<0.05).Conclusion The perioperative temperature preservation protocol reduces the hypothermia effectively,then shortening anesthesia time,and reduces chills and postoperative fever in older patients undergoing internal fixation for proximal humeral fractures,witch is conducive to the perioperative safety of patients.

关 键 词：肱骨近端骨折 老年患者 保温 围手术期 低体温 

分 类 号：R687.3[医药卫生—骨科学]