循环水保温垫和两种热空气暖风垫在犬剖腹手术中保温效果的比较  

Comparison of the Circulating-water Mattress and Two Types of Forced-air Warming for Maintenance of Body Temperature during Laparotomy in Dogs

作　　者：黄雪纯 黄欣瑜 王咸棋 HUANG Xue-chun;HUANG Xin-yu;WANG Xian-qi(Wenzhou Vocational College of Science and Technology,Wenzhou,Zhejiang,325006,China;National Chung Hsing University,Taichung,Taiwan,86402,China)

机构地区：[1]温州科技职业学院,浙江温州325006 [2]台湾中兴大学,中国台湾台中86402

出　　处：《动物医学进展》2024年第1期140-144,共5页Progress In Veterinary Medicine

摘　　要：术中低体温会增加感染率、出血风险和死亡率,目前临床上常用外部主动加热系统提高保温效果。为了探究不同保温设备在麻醉诱导和手术过程中的保温效果,将18例进行剖腹手术的犬随机分成3组(n=6),即循环水保温垫组(W)、U形热空气暖风垫组(FU)和热空气暖风垫组(FM)。结果显示,3组犬的平均食道温度在麻醉20 min后均下降,40 min后FU组食道温度上升,FM组上升缓慢。W组食道温度在40、50、60 min均显著低于FU组,与FM组无显著差异。FM组犬的食道温度相较于W和FU组缓慢上升。结果表明,全身麻醉时,可重复使用、随身体压力分散的热空气暖风垫保温效果良好,能有效降低术中低体温的发生概率。Intraoperative hypothermia increases infection rate,bleeding risk and mortality.Thus,external active heating system is commonly used in veterinary clinical practice to keep warming under general anesthesia.To compare the efficacy of three warming devices following anesthesia induction and surgery,eighteen dogs undergoing laparotomy were randomized equally into three groups(n=6,):group circulating-water mattress(W),group forced-air warming U-shaped mattress(FU)and group warm-breeze mat(FM).A reduction in esophageal temperature was observed after 20 min in all three groups.The temperature curves demonstrated an upward trend in group FU and a slow decline in group FM after 40 min.There was a significant difference at 40,50 and 60 min between groups W and FU(P<0.05).No significant difference was found in the mean temperature between groups W and FM.A slowly rising curve was found for group FM in comparison to groups W and FU.It was concluded that the reusable body pressure-dispersion,warm-breeze mat is safe and effective in decreasing perioperative hypothermia.

关 键 词：术中低体温 循环水保温垫 热空气暖风垫 剖腹手术 全身麻醉 

分 类 号：S857.122[农业科学—临床兽医学] S857.144[农业科学—兽医学]