复合保温措施对髋关节镜围手术期患者核心体温的影响  

Effects of a multiple heat-preservation approach on core body temperature during perioperative period of hip arthroscopy

作　　者：张頔 郑峒 李嫚 李娜 肖蕊 Zhang Di;Zheng Tong;Li Man;Li Na;Xiao Rui(Operating Theater,Beijing Jishuitan Hospital,Capital Medical University,Beijing 100035,China;Sports Medicine Service,Beijing Jishuitan Hospital,Capital Medical University,Beijing 100035,China;Anesthesiology Department,Bejing Jishuitan Hospital,Capital Medical University,Bejing 100035,China)

机构地区：[1]首都医科大学附属北京积水潭医院手术室,北京100035 [2]首都医科大学附属北京积水潭医院运动医学科,北京100035 [3]首都医科大学附属北京积水潭医院麻醉科,北京100035

出　　处：《中国运动医学杂志》2024年第8期613-618,共6页Chinese Journal of Sports Medicine

基　　金：北京积水潭医院院级科研基金—护理科研基金(HL-202304)。

摘　　要：目的:探讨髋关节镜围手术期采取多途径复合保温措施对患者核心体温、麻醉复苏时间和术后寒战的影响。方法:选取2020年1月至2021年6月接受髋关节镜下髋臼盂唇修复手术的患者80例并随机分为两组,对照组40例采用常规围手术期护理,观察组40例在此基础上采用以环境升温、液体加温和温毯保温为核心的复合保温措施。通过腋下体温探头监测核心体温,比较两组围手术期核心体温、麻醉复苏时间和术后寒战的差异。结果:观察组术中和术后体温为36.2℃±0.2℃和36.6℃±0.2℃,高于对照组的35.9℃±0.2℃和36.4℃±0.2℃(P<0.001);观察组术中低体温(<36.0℃)的发生率为7.5%,低于对照组的70.0%(P<0.001);两组术前体温无显著差异(P>0.05)。观察组的麻醉复苏时间为27.0(24.0,30.0) min[M(P_(25),P_(75))],短于对照组的30.0(28.0,33.0) min(P<0.001)。观察组术后寒战的发生率为7.5%,低于对照组的25.0%(P=0.034)。结论:在髋关节镜围手术期采取多途径复合保温措施有助于维持患者核心体温,缩短麻醉复苏时间,降低术后寒战发生率。Objective To explore the effect of a multiple heat-preservation approach during the perioperative period of hip arthroscopy on core body temperature,anesthesia recovery time and postoperative shivering.Methods Eighty patients who underwent arthroscopic acetabular labral repair between January 2020 and June 2021 were selected and randomly divided into a control group and an observation group,each of 40.During the perioperative period,both groups received routine nursing,while the observation group was additionally provided with a series of heat-preservation measures including raising the room temperature,liquid heating and warm blanket insulation.The core body temperature was monitored by an axillary probe.Moreover,the perioperative core body temperature,anesthesia recovery time,and incidence of postoperative shivering were compared between the two groups.Results There was no significant differences were found between the two groups in the preoperative core body temperature(P>0.05).However,the core body temperature of the observation group was significantly higher than the control group intraoperatively(36.2℃±0.2℃vs 35.9℃±0.2℃,P<0.001)and postoperatively(36.6℃±0.2℃vs 36.4℃±0.2℃,P<0.001),while the incidence of intraoperative hypothermia(<36.0℃)of the observation group was significantly lower than the latter(7.5%vs 70.0%,P<0.001).Meanwhile,the anesthesia recovery time[27.0(24.0,30.0)min vs 30.0(28.0,33.0)min,M(P_(25),P_(75)),P<0.001]and incidence of postoperative shivering(7.5%vs 25.0%,P=0.034)in the observation group were significantly lower than the control group.Conclusion Adopting a multiple heat-preservation approach during the perioperative period of hip arthroscopy can help maintain the core body temperature,shorten the anesthesia recovery time,and reduce the incidence of postoperative shivering.

关 键 词：保温 核心体温 体温过低 髋关节镜 围手术期 

分 类 号：R473.6[医药卫生—护理学]