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主动保温干预措施预防全身麻醉患者术中低体温的效果 被引量:9

Effect of active warming intervention on hypothermia in general anesthesia patients
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摘要 目的探讨对全身麻醉患者采取主动保温干预措施预防术中低体温的效果。方法选取2017年12月—2018年2月的收治的60例择期全身麻醉患者为研究对象,其患者随机分为对照组和观察组,各30例。对照组采用常规护理措施,观察组在对照组采取主动保温干预措施,观察2组患者的麻醉后(T1)、术中30 min(T2)、手术结束后(T3)的鼻咽部温度变化和术后寒战的发生情况。结果观察组T1、T2、T3体温均低于对照组,差异有统计学意义(P<0.05)。观察组患者术后寒战发生率明显低于对照组(20.00%vs.73.33%,P<0.05)。结论低体温会对患者机体产生不利影响,应在术中加强对患者的体温监测与主动护理干预,以减少寒战发生。 Objective To investigate the effect of active warming intervention on hypothermia in general anesthesia patients. Methods Totally 60 patients undergoing surgery with general anesthesia were randomly divided into the control group and the study group,with 30 cases in each group. Patients of both two groups received routine care during surgery,and those in the study group were given the active warming intervention. The nasopharyngeal temperature at time after anesthesia( T1),30 min after surgery onset( T2) and at the end of surgery( T3) were observed,and the incidence of postoperative shivering was compared between two groups. Results The nasopharyngeal temperature of patients in the study group was lower than that of controls at T1,T2 and T3,respectively( P〈0. 05). The incidence of postoperative shivering in the study group was lower than that of controls(20. 00% vs. 73. 33%,P〈0. 05). Conclusion It is required to carry out active warming intervention on hypothermia in general anesthesia patients,so as to reduce the risk of postoperative shivering.
作者 何盈盈 郑慕华 张玉芳 HE Yingying;ZHENG Muhua;ZHANG Yufsing(Operating Theater,The 464 th Hospital of 5 LA,Tianjin,300381)
出处 《中西医结合护理(中英文)》 2018年第6期123-125,共3页 Journal of Clinical Nursing in Practice
关键词 低体温 全身麻醉 保温 寒战 护理干预 hypothermia general anesthesia postoperative shivering nursing intervention
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