摘要
目的：探讨创伤病人围手术期低温对全麻恢复期的影响及积极预防低温的临床价值。方法：60例创伤手术患者。采用随机双盲法分为两组，30例对照组采取常规处理，30例观察组积极采取低温预防措施，观察两组的麻醉苏醒时间、麻醉后寒战发生、麻醉后躁动发生及麻醉后低血压发生的情况。结果：观察组与对照组在30min内麻醉苏醒例数间差异无统计学意义（P〉0．05），30～60min苏醒例数有显著性差异（P〈0.05），60min后苏醒有非常显著性差异（P〈0.01）；麻醉后寒战、麻醉后低血压、麻醉后躁动情况均有非常显著性差异（P〈0.01）。结论：创伤病人围手术期低温对机体危害很大，术中采取积极预防低温的措施可提高全麻质量，降低手术后并发症，提高患者的生存率。
Objective： To discuss the effects of perioperative period hypothermia on patients with trauma during stage of general anesthesia recovery, and the clinical value of positive impact on the bypothermia prevention. Methkds：60 cases of traumatic surgery patients were randomly, double-blindly divided into two groups, 30 cases in the control group dealt with conventional treatment, 30 cases in hypothermia group actively took preventive measures, the recoveffes from anesthesia were observed,shivering after anesthesia occurred after anesthesia and anesthesia restless hypotension occurred in the situation. Results： The cases between observation group and the control group in 30 minutes had no significant difference （P〈0.05） during the stage of anesthesia recovery, while it was different in 30-60 minutes（P〈0.05）, and it was significantly different 60 minutes after the recovery （P〈0.01）;shiver, hypotension and restless after anesthesia were significantly different（P〈0.O1）.Conclusion： Perioperative hypothermia does enormous harm to the patients with trauma,active prevention of hypothermia measures may increase the quality of general anesthesia and the survival rate of patients, and reduce postoperative complications.
出处
《中国医药导报》
CAS
2008年第2期15-17,共3页
China Medical Herald
关键词
围手术期
低温
创伤病人
全身麻醉
麻醉恢复期
Perioperative period
Hypothermia
Trauma patients
General anesthesia
Anesthesia recovery stage
