术后轻度低体温患者组合保暖与充气式加温仪复温效果比较  

Comparison of combined warming method and forced-air warming in patients developing mild hypothermia postoperatively

作　　者：郁帆 王雪 马森 刘箐[3] Yu Fan;Wang Xue;Ma Sen;Liu Qing(Nursing Department,Renji Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200127,China)

机构地区：[1]上海交通大学医学院附属仁济医院护理部,上海200127 [2]上海交通大学医学院附属仁济医院麻醉复苏室,上海200127 [3]上海交通大学医学院附属仁济医院手术室,上海200127

出　　处：《护理学杂志》2023年第15期48-50,55,共4页Journal of Nursing Science

基　　金：上海交通大学医学院附属仁济医院护理创新课题(2020HLCX03)。

摘　　要：目的探讨组合保暖与充气式加温仪在术后轻度低体温患者中的应用效果。方法将90例术后轻度低体温患者随机分成两组各45例。观察组使用反光毯和棉被的组合保暖方式复温,对照组使用充气式加温仪复温。结果复温后两组的升温值差异未达非劣效边界。两组体感舒适度、寒战和心血管不良事件发生率无统计学差异(均P>0.05)。结论组合保暖方式应用于轻度低体温患者的升温效率与充气式加温仪相当;体感舒适度和安全性与充气式加温仪也相似,适用于此类患者的术后复温。Objective To compare combined warming method and a forced-air warming system for rewarming of patients developing mild hypothermia postoperatively.Methods A total of 90 patients were randomly divided into two groups,with 45 patients in each group.The intervention group was rewarmed using a combination of a thermal reflective blanket and a cotton quilt,while the control group was rewarmed using a forced-air warming system.Results The mean effect difference after rewarming between the two groups did not reach the non-inferiority boundary.There was no statistically significant differences in terms of thermal comfort,as well as the incidence rates of shivering and adverse cardiovascular events in both groups(all P>0.05).Conclusion Combined warming method is on a par with forced-air warming in terms of rewarming efficiency.Likewise for the outcomes of thermal comfort and safety.It could be applied to postoperative patients with mild hypothermia.

关 键 词：手术患者 麻醉复苏室 低体温 复温 反光毯 棉被 充气式加温仪 手术室护理 

分 类 号：R472.3[医药卫生—护理学]