摘要
寒战是指肌肉收缩、痉挛性发抖,即机体为抵抗寒冷维持正常体温而采取的行为措施,是正常生理功能。而麻醉后寒战作为麻醉常见并发症之一,是指患者于麻醉过程中无自主性肌肉收缩、抽动等表现,多在中低位硬膜外麻醉中出现。其常见的临床表现为面部、颈部轻微肌颤、肢体肌肉颤抖等,甚至在个别患者中还表现为躯体抖动,不仅会增加患者手术恐惧感,还不利于后续手术工作的顺利进行。本文笔者根据自身经验,分析麻醉后寒战相关因素,综述其对患者的不良影响及有效的治疗措施,以期为麻醉后寒战的预防和治疗提供参考依据。
Chill refers to muscle contraction and spastic tremor,that is,the behavior measures taken by the body to resist cold and maintain normal body temperature,which is a normal physiological function. Postanaesthesia chills as one of the common complication of anesthesia,refers to patients with no autonomic muscle contraction,tics and other manifestations in the process of anesthesia,which occurs mostly in middle and low epidural anesthesia. Its common clinical manifestations are slight facial and neck muscle tremor,limb muscle tremor and so on. And even in individual patients,it also shows body tremor,which will not only increases the patients’ fear of surgery,but also be not conducive to the smooth progress of follow-up surgery. Based on the researcher’s own experience,this paper analyzes the related factors of post-anesthesia chills,summarizes its adverse effects on patients and effective treatment measures,in order to provide reference basis for the prevention and treatment of post-anesthesia chills.
作者
李娜
LI Na(Department of Anesthesiology,the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China)
出处
《中国城乡企业卫生》
2020年第5期73-75,共3页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
麻醉后寒战
相关因素
不良影响
治疗
预防
进展
Post-anesthesia chills
Related factors
Adverse effects
Treatment
Prevention
Progress