中国医药科学2024，Vol.14Issue(1) ：154-156,174.DOI:10.20116/j.issn2095-0616.2024.01.36

多模式保温护理对骨科全麻老年患者术后复苏、循环功能及脑氧代谢的影响

The effect of multi-mode thermal insulation nursing on postoperative recovery,circulatory function,and cerebral oxygen metabolism in elderly patients undergoing orthopedic general anesthesia

廖雪梅 徐静敏
中国医药科学2024，Vol.14Issue(1) ：154-156,174.DOI:10.20116/j.issn2095-0616.2024.01.36
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多模式保温护理对骨科全麻老年患者术后复苏、循环功能及脑氧代谢的影响

The effect of multi-mode thermal insulation nursing on postoperative recovery,circulatory function,and cerebral oxygen metabolism in elderly patients undergoing orthopedic general anesthesia

廖雪梅 1徐静敏1
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作者信息

  • 1. 广西壮族自治区贵港市人民医院麻醉科,广西贵港 537100
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摘要

目的 探究多模式保温护理对骨科全麻老年患者术后复苏、循环功能及脑氧代谢的影响.方法 选择2021 年 6 月至 2022 年 6 月贵港市人民医院接收诊治骨科全麻老年患者 80 例,按照随机数表法分为对照组和观察组,每组各 40 例.对照组实施常规护理,观察组实施多模式保温护理,比较两组患者的术后复苏相关指标、循环功能[心率(HR)、收缩压(SBP)、舒张压(DBP)]及脑氧代谢[左、右局部脑氧饱和度(rScO2)].结果 观察组复苏期体温高于对照组(P<0.05),低体温及寒战发生率低于对照组(P<0.05),HR慢于对照组(P<0.05),SBP、DBP低于对照组(P<0.05),麻醉恢复留观时间及完全苏醒时间短于对照组(P<0.05),左、右rScO2 高于对照组(P<0.05).结论 多模式保温护理对骨科全麻术后老年患者复苏室保温效果显著,有助于减少应激反应发生,改善循环功能及脑氧代谢,促进患者更快苏醒.

Abstract

Objective To explore the effects of multi-mode thermal insulation nursing on postoperative recovery,circulatory function,and cerebral oxygen metabolism in elderly patients undergoing orthopedic general anesthesia.Methods A total of 80 elderly patients undergoing orthopedic general anesthesia treated in Guigang People's Hospital from June 2021 to June 2022 were selected and divided into a control group and an observation group using the random number table method,with 40 cases in each group.The control group received routine nursing,while the observation group received multi-mode thermal insulation nursing.The postoperative recovery-related indicators,circulatory function(heart rate[HR],systolic blood pressure[SBP],diastolic blood pressure[DBP]),and cerebral oxygen metabolism(left and right regional cerebral oxygen saturation[rScO2])were compared between the two groups of patients.Results During the recovery period,the body temperature of the observation group was higher than that of the control group(P<0.05),and the incidence of hypothermia and chills was lower than that of the control group(P<0.05).HR was slower than that of the control group(P<0.05),and SBP and DBP were lower than those of the control group(P<0.05).The observation length and complete recovery time of anesthesia were shorter than those of the control group(P<0.05),and the left and right rScO2 were higher than those of the control group(P<0.05).Conclusion Multi-mode thermal insulation nursing has a significant effect on the thermal insulation of the recovery room for elderly patients after orthopedic general anesthesia,which helps to reduce stress reactions,improve circulatory function and cerebral oxygen metabolism,and promote faster recovery of patients.

关键词

骨科全麻术后/低体温/多模式保温护理/循环功能/脑氧代谢

Key words

After orthopedic general anesthesia/Hypothermia/Multi-mode thermal insulation nursing/Circulatory function/Cerebral oxygen metabolism

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基金项目

广西壮族自治区卫生健康委员会科研课题(Z-R20221939)

出版年

2024
中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新（北京）医药科学研究院

中国医药科学

影响因子：1.083
ISSN：2095-0616
参考文献量14
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