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围术期低温对老年开腹手术患者C-反应蛋白的影响

The Influence of Perioperative Hypothermia on the C-Reactive Protein(CRP) of Elderly Patients Underwent Laparotomy under General Anesthesia
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摘要 目的:观察老年开腹手术患者麻醉术中体温变化对C-反应蛋白的影响。方法:选择全麻下行开腹手术的老年患者,麻醉手术中连续监测核心温度,并检测对应时间点机体C-反应蛋白(CRP)的含量。结果:麻醉手术中各时间点核心体温均较术前降低;术后24h内最高腋温与术前体温比较急剧升高;麻醉手术后2hCRP较术前下降;术后24hCRP较术前及麻醉手术后2h明显增高。结论:老年开腹手术患者围手术期中,CRP因机体温度的变化而不同,核心体温降低时,CRP下降。 Objective :To observe the temperature changes of elderly patients underwent laparotomy in Narcotherapy and record CRP changes along with his/her temperature.Methods :We selected the elderly patients with underwent laparotomy under general anesthesia, monitor core temperature continuously in operation, and monitor CRP content in patient body corresponding with the time.Results :After anesthetic operation every core temperature correspond time reduced : 24 hours after operation highest sharp rose in armpit temperature compared with preoperation ; 2 hours after anesthetic operation CRP reduced compared with properation ; 24 hours after operation CRP was obviously highly than it when anesthetic operation had accomplished for 2 hours.Conclusion :After general anesthesia, elderly patients underwent laparotomy, CRP will be different because of body temperature changes, when core body temperature reduces, CRP will reduce too.
出处 《中外医学研究》 2012年第26期3-4,共2页 CHINESE AND FOREIGN MEDICAL RESEARCH
关键词 全身麻醉 围术期低温 C-反应蛋白 General Anesthesia Perioperative hypothermia C-reactive protein
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参考文献5

  • 1Sessler D I.Perioperative heat balance[J].Anesthesiology, 2000, 92(2) : 578-596.
  • 2Sessler D I.Complications and treatment of mild hypothermia[J]. Anesthesiology, 2001, 95(2) : 531-543.
  • 3Davis, A J, Bissonnette B.Thermal regulation and mild intraoperative hypothermia[J].Current Opinion in Anaesthesiology, 1999, 12(3) : 303-309.
  • 4De Witte J, Sessler D I.Perioperativ eshivering : physiology and pharmacology[J].Anesthesiology, 2002, 96(2) : 467-484.
  • 5Kurz A.Intraoperative hypothermia : pathophysiology and clinical sequelae[J].Wien Klin Wochenschr, 1997, 109(8) : 261-269.

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