充气式保温毯预防麻醉复苏室全麻患者恢复期低体温的效果  

Effect of Inflatable Thermal Blanket in Preventing Hypothermia During Recovery in General Anesthesia Patients in Anesthesia Recovery Room

作　　者：杨娟[1] 王洁[2] 贾晋莉 吴兰兰[1] 奉光举 YANG Juan;WANG Jie;JIA Jinli;WU Lanlan;FENG Guangju(Operating Room,Huazhong University of Science and Technology Shenzhen Union Hospital,Shenzhen,Guangdong Province,518000 China;Department of Anesthesiology,Wuhan Union Hospital,Huazhong University of Science and Technology,Wuhan,Hubei Province,430022 China)

机构地区：[1]华中科技大学深圳协和医院手术室,广东深圳518000 [2]华中科技大学武汉协和医院麻醉科,湖北武汉430022

出　　处：《世界复合医学》2022年第5期41-44,共4页World Journal of Complex Medicine

摘　　要：目的探讨充气式保温毯预防麻醉复苏室全麻患者恢复期低体温的效果。方法选取2018年1月—2020年6月120例华中科技大学深圳协和医院收治的全麻患者为研究对象。按照随机数字表法分为两组,对照组60例予以常规被子保温,研究组60例予以充气式保温毯保温。比较两组腋温、乳酸值、低体温、寒战、苏醒延迟发生情况及热舒适度。结果入室30、60 min时研究组腋温(36.21±0.11)、(36.31±0.23)℃高于对照组,乳酸值(1.71±0.13)、(1.41±0.21)低于对照组,差异有统计学意义(t=8.231、6.468、10.119、16.555,P<0.05)。研究组低体温、寒战及苏醒延迟发生率均低于对照组,差异有统计学意义(P<0.05)。入室60 min时研究组热舒适度评分(0.15±0.02)分高于对照组(-2.16±0.31)分,差异有统计学意义(t=57.600,P<0.05)。结论充气式保温毯在麻醉复苏室全麻患者中应用可维持患者体温水平,降低低体温、寒战及苏醒延迟发生率,患者具有较高的舒适度。Objective To investigate the effect of inflatable thermal blankets in preventing hypothermia in patients with general anesthesia in the anesthesia recovery room during the recovery period.Methods Selected 120 patients with general anesthesia admitted to Huazhong University of Science and Technology Shenzhen Union Hospital from January 2018 to June 2020 as the research subjects,they were divided into two groups according to the random number table method.The 60 cases in the control group were kept warm by conventional quilts,and the 60 cases in the study group were kept warm by inflatable insulation blankets.The axillary temperature,lactate value,hypothermia,chills,delayed awakening,and thermal comfort were compared between the two groups.Results The axillary temperature in the study group was(36.21±0.11)℃ and(36.31±0.23)℃ higher than those in the control group at 30 min and 60 min after entering the room,the lactate values(1.71±0.13)and(1.41±0.21)were lower than those in the control group,and the difference was statistically significant(t=8.231,6.468,10.119,16.555,P<0.05).The incidences of hypothermia,chills and delayed awakening in the study group were lower than those in the control group,and the difference was statistically significant(P<0.05).The thermal comfort score of the study group(0.15±0.02)points was higher than that of the control group(-2.16±0.31)points 60 minutes after entering the room,the difference was statistically significant(t=57.600,P<0.05).Conclusion The application of inflatable thermal blanket in general anesthesia patients in anesthesia and resuscitation room can maintain the patient's body temperature,reduce the incidence of hypothermia,chills and delayed awakening,and the patient has a high degree of comfort.

关 键 词：麻醉复苏室 充气式保温毯 寒战 苏醒延迟 低体温 

分 类 号：R472.3[医药卫生—护理学]