围术期保温及无线温度持续监测系统对全麻腹部手术患者的效果研究  

Effect of perioperative warming and wireless temperature continuous monitoring system on patients undergoing abdominal operation

作　　者：黄伟波[1] 陈志宇[1] 肖祥礼[1] 毛斯坦 赵艳[1] 尹红娟[1] 张若冰[1] 廖均凤 吴映影 HUANG Weibo;CHEN Zhiyu;XIAO Xiangli(Department of Anesthesiology,Beihai People’s Hospital,Guangxi,Beihai 536000,China)

机构地区：[1]广西壮族自治区北海市人民医院麻醉科,536000

出　　处：《河北医药》2022年第13期2074-2077,共4页Hebei Medical Journal

基　　金：广西壮族自治区卫生厅科技研究计划项目(编号:Z20180793)。

摘　　要：目的 探讨围术期保温及无线温度持续监测系统对全麻腹部手术患者的效果。方法 选择2018年1~5月入院的择期全麻腹部手术患者81例,随机分为常温组40例和保温组41例。保温组采用3M充气式保温毯,将保温毯于患者入室前预先铺于手术台上,手术期间设定温度在38~40℃。常温组仅给予常规护理,不施加任何干预措施。2组均同时进行鼓膜温和腋温监测,患者从入室后每间隔20 min记录一次至手术结束,入麻醉复苏室(PACU)后继续监测体温并观察寒颤发生情况、苏醒及拔管时间。结果 鼓膜处所测体温,从手术开始切皮时至手术结束,2组低体温发生率逐渐增加,但保温组低体温发生率明显低于常温组,组间差异有统计学意义(P<0.05)。腋下处所测体温变化范围较鼓膜处小,相对不敏感,2组低体温发生率差异无统计学意义(P>0.05)。PACU期间,2组患者在清醒时长、拔管时长及寒颤发生率差异有统计学意义(P<0.05)。结论 腹部手术患者全身麻醉后体温会下降,围术期保温措施可降低低体温及术后并发症的发生率;无线温度持续监测系统较腋温监测更灵敏反应患者体温变化趋势,能及时获取体温变化信息。Objective To study the effect of perioperative warming and wireless temperature continuous monitoring system on patients undergoing abdominal operation.Methods 81 patients undergoing abdominal operation in our hospital from January to May 2018 were randomly selected and divided into the normothermia group(40 cases)and the heat preservation group(41 cases).The 3M forced-air-warming blanket was used for patients in the heat preservation group,the warming blanket,a set temperature of 38 to 40℃during the operation was pre-laid on the operating table before the patients entered the room.The patients in the normothermia group received routine nursing alone,and both temperature of tympanic and axillary in groups were monitored synchronously.The temperature of patients were recorded every 20 minutes after admission until the end of the operation,the body temperature was monitored after entering postanesthesia care unit(PACU),and the incidence of chills,the length of time to awaken and extubate were calculated.Results The tympanic temperature was measured from the beginning till the end of the operation.The hypothermia incidence rate in groups increased gradually,whereas,which was significantly lower in the heat preservation group relevant to the normothermia group(P<0.05).The change range of axilla temperature was similar to the tympanic membrane,and it was relatively insensitive,no difference in hypothermia rate was statistical significance between groups(P<0.05).During the PACU period,there were significant differences in the length of time to awaken and extubate,and incidence of chills between groups(P<0.05).Conclusion The body temperature of patients receiving abdominal operation decrease after general anesthesia,perioperative warming measures are capable of reducing the incidence of hypothermia and complications.Wireless temperature continuous monitoring system is more sensitive than axillary temperature monitoring to reflect the changing trend of patient’s body temperature,and it is capable of timely acquiring

关 键 词：鼓膜温 腋温 全麻 腹部手术 保温 无线温度持续监测系统 

分 类 号：R614.2[医药卫生—麻醉学]