首页|围术期3M患者升温系统在剖宫产术中的应用

围术期3M患者升温系统在剖宫产术中的应用

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目的 探讨围术期剖宫产患者发生低体温状态的原因,从而采取针对性体温保护措施.方法 80 例行剖宫产患者,随机分成对照组(M)和试验组(N).对照组采取常规保温措施,试验组采取3M患者升温系统加强保温.比较两组患者不同时间的核心温度、体表温度及围术期低体温、寒颤发生率.结果 入室前、麻醉前及术后第 2 小时,两组患者核心温度比较,差异无统计学意义(P>0.05);麻醉后、手术第 1 小时、手术第 2 小时、术后第 1 小时,试验组患者核心温度分别为(36.16±0.35)、(36.24±0.38)、(36.37±0.44)、(36.43±0.46)℃,高于对照组的(35.43±0.55)、(35.51±0.58)、(35.58±0.67)、(35.67±0.57)℃,差异具有统计学意义(P<0.05).入室前、麻醉前及术后第 1、2 小时,两组患者体表温度比较,差异无统计学意义(P>0.05);麻醉后、手术第 1 小时、手术第 2 小时,试验组患者体表温度分别为(34.63±0.56)、(34.55±0.58)、(34.49±0.64)℃,高于对照组的(33.83±0.59)、(33.76±0.71)、(33.60±0.67)℃,差异具有统计学意义(P<0.05).试验组患者低体温、寒颤发生率分别为 12.5%、5.0%,低于对照组的 52.5%、27.5%,差异具有统计学意义(P<0.05).结论 围术期剖宫产患者加强体温监测,同时采取 3M患者升温系统进行体温保护,对防范低体温、寒颤并发症的发生有积极作用,对提高患者舒适化医疗也有临床价值.
Application of perioperative 3M patient warming system in cesarean section
Objective To explore the causes of hypothermia in patients undergoing cesarean section during perioperative period,so as to take targeted temperature protection measures.Methods 80 patients undergoing cesarean section were randomly divided into an control group(M)and a test group(N).The control group adopted conventional thermal insulation measures,and the test group adopted 3M patient warming system to strengthen thermal insulation measures.The core temperature and body surface temperature at different time poins,and incidence of perioperative hypothermia and chills of the two groups were compared.Results There was no significant difference in core temperature between the two groups before anesthesia and 2 h after the start of surgery(P>0.05).After anesthesia,1 h after the start of surgery,2 h after the start of surgery and 1 h after surgery,the core temperature of the test group were(36.16±0.35),(36.24±0.38),(36.37±0.44)and(36.43±0.46)℃,which were higher than(35.43±0.55),(35.51±0.58),(35.58±0.67)and(35.67±0.57)℃ of the control group.The difference was statistically significant(P<0.05).Before entering the operating room,before anesthesia,1 h after the start of surgery,2 h after the start of surgery,there was no significant difference in body surface temperature between the two groups(P>0.05).After anesthesia,1 h after the start of surgery,2 h after the start of surgery,the body surface temperature of the test group were(34.63±0.56),(34.55±0.58)and(34.49±0.64)℃,which was higher than(33.83±0.59),(33.76±0.71)and(33.60±0.67)℃ of the control group.The difference was statistically significant(P<0.05).The incidence of hypothermia and chills in the test group were 12.5%and 5.0%,which were lower than 52.5%and 27.5%in the control group,and the difference was statistically significant(P<0.05).Conclusion Strengthening of temperature monitoring for patients with perioperative cesarean section and the use of 3M patient warming system for temperature protection have positive effects on preventing the occurrence of complications of hypothermia and chills,and also have clinical value in improving the comfort of patients.

Perioperative periodCesarean section patientHypothermia3M patient warming system

蔡德辉、陈守坚、容青霖、钟巧婵

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523660 广东省东莞市清溪医院

围术期 剖宫产患者 低体温 3M患者升温系统

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(3)
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