苏醒期专项护理结合综合保温措施在患儿全身麻醉手术中的应用  

The effect of special nursing combined with comprehensive thermal insulation measures on the prevention of hypothermia after general anesthesia

作　　者：辛红 刘梅[1] 陈艾[1] XIN Hong;LIU Mei;CHEN Ai(Maoming Maternal and Child Health Hospital,Maoming 525034,Guangdong)

机构地区：[1]茂名市妇幼保健院手术麻醉科,广东茂名525034

出　　处：《安徽医专学报》2022年第5期133-135,共3页Journal of Anhui Medical College

摘　　要：目的:探究苏醒期专项护理结合综合保温措施对患儿全身麻醉后低体温预防作用的效果。方法:选取医院收治的需要接受全身麻醉的98例患儿,采用抽签法随机分为对照组和观察组,每组49例,对照组患儿进行苏醒期专项护理,观察组患儿在对照组的基础上综合保温措施进行护理,比较两组患儿术前、术中1 h、2 h、术后即刻的体温变化、术后不良反应情况、生命指标变化。结果:患儿手术中体温的变化随着时点效应、组间效应、两者交互效应的变化而产生变化,差异有统计学意义(P<0.05),手术前,两组患儿体温差异无统计学意义(P>0.05),手术1 h、2 h时两组患儿体温下降,且对照组下降更明显,手术后,两组患儿体温回升,且观察组回升更明显,差异均有统计学意义(P<0.05);术后,观察组患儿的心率、舒张压、收缩压、血氧饱和度(SpO_(2))都优于对照组,差异有统计学意义(P<0.05);术后,观察组患儿的寒战、渗血、躁动人数都少于对照组,观察组患儿的应激发生率低于对照组,差异有统计学意义(P<0.05)。结论:苏醒期专项护理结合综合保温措施对患儿全身麻醉后低体温具有良好的预防效果,能够降低术后不良反应发生率,稳定生命指标。Objective:Explore the effect of special nursing combined with comprehensive insulation measures on the preventive effect of hypothermia after general anesthesia.Method:A total of 98 children requiring general anesthesia who were admitted to hospital were selected and randomly divided into control group and observation group by drawing lots,each with 49 cases.The control group received special care during the recovery period.The observation group performed nursing care with comprehensive insulation measures on the basis of the control group,and the changes in body temperature,postoperative stress response,and life index changes of the two groups of children before operation,1 h,2 h,and immediately after operation were compared.Results:The change of the temperature of the children during the operation changes with the time point effect,the inter group effect and the interaction effect of the two groups,and the difference is statistically significant(P<0.05).Before the operation,the temperature of the children in the two groups is not statistically significant(P>0.05).The temperature of the children in the two groups decreases at 1 h and 2 h after the operation,and the temperature of the control group decreases more obviously.After the operation,the temperature of the children in the two groups rises,and the temperature of the observation group rises more obviously,The difference was statistically significant(P<0.05);After operation,the heart rate,diastolic blood pressure,systolic blood pressure and blood oxygen saturation(SpO_(2))of the observation group were better than those of the control group(P<0.05);After operation,the number of shivering,bleeding and agitation in the observation group was less than that in the control group,and the incidence of stress in the observation group was lower than that in the control group(P<0.05).Conclusion:Special nursing combined with comprehensive heat preservation measures in the wake-up period has a good preventive effect on hypothermia after general anesthesia in children,wh

关 键 词：苏醒期专项护理 保温措施 全身麻醉 生命指标 

分 类 号：R473.72[医药卫生—护理学]