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术中保温对胃癌手术患者麻醉恢复期的影响

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目的:探讨术中保温对胃癌手术患者麻醉恢复期的影响。方法选择气管插管全麻手术胃癌根治手术患者40例,ASAⅠ-Ⅱ级。随机分为观察组与对照组,每组各20例,对照组按常规调节室温24~26℃及覆盖棉被;观察组在对照组常规处理的基础上,还采用充气升温毯,术中使用血液/液体升温进行输血输液,腹腔冲洗液用液体加温箱加温至37~39℃等综合保温措施。观察两组围术期体温及术后拨管时间、苏醒时间、寒颤及躁动的发生率。结果对照组患者体温降低、苏醒延迟、寒颤、躁动等发生率较观察组明显增加(P<0.05)。结论术中积极采用综合保温措施可减少胃癌手术患者麻醉恢复期低体温、苏醒延迟、寒颤及躁动等发生率。
Objective To investigate the intraoperative warming influence of gastric surgery patients recovering from anesthesia. Methods general anesthesia surgery in 40 patients with gastric cancer surgery, ASA Ⅰ - Ⅱ grade. Were randomly divided into observation group and control group, n = 20 patients in the control group to adjust room temperature by conventional 24 - 26 ℃ and cover quilts; observation group on the basis of the conventional treatment group, also uses inflatable warming blanket, intraoperative use blood / fluid warming conduct blood transfusion, peritoneal washing liquid heating tank heated to 37 - 39 ℃ comprehensive insulation measures. Body temperature were observed perioperative and postoperative extubation time, recovery time, the incidence of chils and restlessness. The results hypothermia patients in the control group, delayed recovery, chils, agitation, etc. The incidence increased significantly compared with the observation group (P <0.05). Conclusion Intraoperative actively integrated insulation measures to reduce gastric surgery patients recovering from anesthesia hypothermia, delayed recovery, chils and restlessness incidence.

colorectal cancerintraoperative warminganesthesiaCare

梁远祝、车七梅

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四川省达州市中心医院手术室 635000

直肠癌 术中保温 麻醉 护理

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(18)
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