多模式保温方案在全麻患者护理中的应用效果  

Effect of multi-mode heat preservation in the nursing of patients with general anesthesia

作　　者：王芳芳[1] 吴春梅[1] 高文汇[1] Wang Fangfang;Wu Chunmei;Gao Wenhui(Department of Anesthesiology and Surgery,Shanxi Provincial People's Hospital,Taiyuan 030012,China)

机构地区：[1]山西省人民医院麻醉手术科,太原030012

出　　处：《中华现代护理杂志》2022年第28期3968-3972,共5页Chinese Journal of Modern Nursing

基　　金：山西省科技攻关项目(20150313011-6)。

摘　　要：目的探讨多模式保温方案在全麻患者护理中的应用效果。方法采用便利抽样法,选取2020年4月—2021年4月山西省人民医院收治的106例全麻患者为研究对象,采用抽签法随机分为对照组与观察组,各53例。对照组给予常规保温护理,观察组实施多模式保温方案。比较两组术前、手术开始30 min、手术开始60 min、术毕时患者的体温和去甲肾上腺素水平、肾上腺素水平、自主呼吸时间、导管拔除时间、意识恢复时间、麻醉后恢复室滞留时间、并发症发生率的差异。结果手术开始30、60 min及术毕时,观察组体温高于对照组,观察组去甲肾上腺素、肾上腺素水平低于对照组,差异均有统计学意义(P<0.05)。观察组自主呼吸时间、导管拔除时间、意识恢复时间、麻醉后恢复室滞留时间短于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论多模式保温方案可维持全麻患者术中体温恒定,减轻应激反应,提升苏醒质量,降低并发症发生率。Objective To explore the effect of multi-mode heat preservation in the nursing of patients with general anesthesia.Methods From April 2020 to April 2021,106 cases of general anesthesia patients admitted to Shanxi Provincial People's Hospital were selected by convenience sampling as research objects.The patients were randomly divided into the control group and the observation group by drawing lots,with 53 cases in each group.The control group was given routine heat preservation nursing,and the observation group received multi-mode heat preservation.The body temperature,norepinephrine,epinephrine,spontaneous breathing time,catheter removal time,consciousness recovery time,post-anesthesia stay time in the Recovery Room,and complication rates were compared between the two groups before surgery,30 minutes after surgery,60 minutes after surgery,and at the end of surgery.Results At 30 and 60 minutes after surgery and at the end of surgery,the body temperature in the observation group was higher than that in the control group,and the norepinephrine and epinephrine in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The spontaneous breathing time,catheter removal time,consciousness recovery time,and post-anesthesia stay time in the Recovery Room in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions The multi-mode heat preservation can maintain a constant intraoperative body temperature in patients with general anesthesia,reduce stress response,improve the quality of recovery,and decrease the incidence of complications.

关 键 词：全身麻醉 低体温 应激反应 术中保温 麻醉并发症 

分 类 号：R472.3[医药卫生—护理学]