首页|经皮肾镜超声碎石术中温度控制技术对患者苏醒及体温的影响

经皮肾镜超声碎石术中温度控制技术对患者苏醒及体温的影响

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目的 探讨经皮肾镜超声碎石术中温度控制技术对患者苏醒及体温的影响。方法 140例在本院接受经皮肾镜超声碎石术治疗的肾结石患者作为研究对象,经随机号码表法将患者分为对照组与温度控制组,各 70 例。对照组患者接受经皮肾镜超声碎石术中常规干预、温度控制组患者接受经皮肾镜超声碎石术中温度控制技术干预。比较两组患者的术后苏醒情况,术中、术后体温,术后不良反应发生情况。结果 温度控制组患者的麻醉拔管时间、清醒时间分别为(8。54±1。60)、(15。82±2。19)min,均短于对照组患者的(13。21±2。49)、(22。71±4。30)min,差异有统计学意义(P<0。05)。两组患者的麻醉诱导阶段体温差异无统计学意义(P>0。05)。温度控制组患者手术 30 min、手术 60 min、术后体温分别为(36。10±0。23)、(36。52±0。26)、(36。31±0。20)℃,均高于对照组患者的(36。01±0。25)、(35。37±0。39)、(35。41±0。22)℃,差异有统计学意义(P<0。05)。温度控制组患者的术后寒战、低体温、躁动发生率分别为 4。29%、0、2。86%,均低于对照组患者的 15。71%、5。71%、11。43%,差异有统计学意义(P<0。05)。结论 经皮肾镜超声碎石术中温度控制技术可有效避免患者体温过度下降,有助于加速术后苏醒、降低麻醉相关不良反应发生率,是一种可行的术中干预技术。
Influence of temperature control technique on recovery and body temperature of patients in percutaneous ultrasonic lithotripsy
Objective To investigate the influence of temperature control technique on recovery and body temperature of patients in percutaneous ultrasonic lithotripsy.Methods A total of 140 patients with kidney stones who received percutaneous ultrasonic lithotripsis were collected as research subjects,and were divided into a control group and a temperature control group by random number table method,with 70 cases in each group.The control group received routine intervention in percutaneous ultrasonic lithotripsy,while the temperature control group received temperature control technique intervention in percutaneous ultrasonic lithotripsy.The postoperative recovery,intraoperative and postoperative temperature,and postoperative adverse reactions were compared between the two groups.Results The anesthesia extubation time and waking time of temperature control group were(8.54±1.60)and(15.82±2.19)min,which were shorter than(13.21±2.49)and(22.71±4.30)min of the control group,and the differences were statistically significant(P<0.05).There was no significant difference in body temperature between the control group and the temperature control group during anesthesia induction stage(P>0.05).The body temperature at 30 min,60 min and postoperatively in the temperature control group were(36.10±0.23),(36.52±0.26)and(36.31±0.20)℃,which were higher than(36.01±0.25),(35.37±0.39)and(35.41±0.22)℃in the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative chills,hypothermia and agitation in the temperature control group were 4.29%,0 and 2.86%,which were lower than 15.71%,5.71%and 11.43%in the control group,and the difference was statistically significant(P<0.05).Conclusion The temperature control technique in percutaneous ultrasonic lithotripsy can effectively avoid excessive hypothermia of patients,help to accelerate postoperative recovery and reduce the incidence of anesthesia-related adverse reactions,and is a feasible intraoperative intervention technique.

Percutaneous ultrasonic lithotripsyTemperature control techniqueBody temperatureWake upAdverse reactions

林杉杉、陈闽榕、王晓芬

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350001 福建省立医院

经皮肾镜超声碎石术 温度控制技术 体温 苏醒 不良反应

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(5)
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