硬膜外和全麻期间体温变化的监测  

Monitoring of variations of body temperature during epidural and general anesthesia.

作　　者：刘怀清 刘祥平 肖永鸿 梅琼 陈勋 

机构地区：[1]南桐矿务局总医院,重庆万盛400802

出　　处：《现代医药卫生》2003年第6期683-683,共1页Journal of Modern Medicine & Health

摘　　要：目的:观察施行硬膜外麻醉和全身麻醉病人的食管和直肠温度变化。方法:将18～40岁的腹部手术病人50例,分为硬膜外组(Ⅰ组25例)和全麻组(Ⅱ组25例)。分别测量麻醉前和麻醉期间(每隔10分钟)以及手术毕时的体温。结果:Ⅰ组麻醉后食管和直肠温度下降速度较缓慢,Ⅱ组麻醉后8分钟至手术毕时食管温度均有显著下降,两组术毕与术前温度差异有显著性。结论:两种麻醉下食管温度均有明显下降,尤以全麻为著。两组直肠温度下降均较缓慢。Objective: To observe the variations of temperature of esophagus and rectum in the patients during epidural anesthesia or general anesthesia. Methods:50 cases of 18~4u years old with abdominal operation were divided into the epidural (group 1) and the general anesthesia group(group 2), whh 25 cases in each group.The temperature was detected before anes-thesia during anesthesia (one times every 10 minutes) and after operation respectively. Reuslts: The velocity of double body temperature decrease after anesthesia in the group l was slower, while the temperature decrease of esophagus 8 minuts to operation end after anesthesia in the group 2 was obvious. There was a significant dif terence between after and before operation in both groups.ConclusionrThe esophagus temperature under both anesthesias decreases obviously,especiall in genernal anesthesia period.The recturn temperature in both groups decreases slowly.

关 键 词：硬膜外麻醉 全身麻醉 体温变化 食管温度 直肠温度 监测 

分 类 号：R614[医药卫生—麻醉学] R443.5[医药卫生—外科学]