充气式保温毯在腹部手术患者中的应用效果  

Application effects of forced-air-warming blanket in patients undergoing abdominal surgery

作　　者：高中阳 崔晓军 鲍红燕 GAO Zhongyang;CUI Xiaojun;BAO Hongyan(Operating Room of Zhengzhou No.1 People’s Hospital,Zhengzhou 450008 Henan,China)

机构地区：[1]郑州市第一人民医院手术室,河南郑州450008

出　　处：《中国民康医学》2024年第18期174-176,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察充气式保温毯在腹部手术患者中的应用效果。方法:选取2020年8月至2022年8月于该院择期行腹部手术的108例患者进行前瞻性研究,按随机数字表法将其分为对照组和研究组各54例。对照组给予常规保暖措施保暖,研究组在对照组基础上采用充气式保温毯保暖,比较两组入室后不同时间体温,围术期指标(低体温发生率、气管插管拔管时间、住院时间)水平,术后24 h并发症发生率,以及不同时间心率、收缩压水平。结果:研究组入室后15、30、45 min体温均高于对照组,差异有统计学意义(P<0.05);研究组术中低体温发生率低于对照组,气管插管拔管时间和住院时间均短于对照组,差异有统计学意义(P<0.05);研究组并发症发生率为1.85%(1/54),低于对照组的16.67%(9/54),差异有统计学意义(P<0.05);术毕时,研究组心率和收缩压水平均低于对照组,差异有统计学意义(P<0.05)。结论:在常规保暖措施基础上采用充气式保温毯保暖可提高腹部手术患者体温,降低围术期指标水平、并发症发生率,维持心率和收缩压稳定,效果优于单纯常规保暖措施。Objective:To observe application effects of forced-air-warming blanket in patients undergoing abdominal surgery.Methods:A prospective study was conducted on 108 patients who underwent elective abdominal surgery in this hospital from August 2020 to August 2022.According to the random number table method,they were divided into control group and study group,54 cases in each group.The control group was given routine warm keeping measures,while the study group was given the forced-air-warming blanket on the basis of that of the control group.The body temperature levels at different time after admission,the perioperative indexes(incidence of hypothermia,tracheal intubation and extubation time,hospitalization time),the incidence of complications 24 h after the surgery,and the levels of heart rate and systolic blood pressure at different time were compared between the two groups.Results:At 15,30,45 min after entering the room,the body temperature of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).The incidence of hypothermia in the study group was lower than that in the control group,the tracheal intubation and extubation time and hospitalization time were shorter than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the study group was 1.85%(1/54),which was lower than 16.67%(9/54)in the control group,and the difference was statistically significant(P<0.05).Further,at the end of the surgery,the levels of heart rate and systolic blood pressure in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the conventional warm keeping measures,the forced-air-warming blanket can improve the body temperature of the patients undergoing abdominal surgery and reduce the levels of perioperative indexes,the incidence of complications,and maintain stable the levels of heart rate and systolic blood pressure

关 键 词：腹部手术 低体温 充气式保温毯 心率 住院时间 并发症 

分 类 号：R656[医药卫生—外科学]