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输液加温对全身麻醉手术患者术中体温的影响

冯星梅 夏引芳 王玉瑛 朱瑞雯 胡芳宝

上海护理2012,Vol.12Issue(3):22-24,3.
上海护理2012,Vol.12Issue(3):22-24,3.

输液加温对全身麻醉手术患者术中体温的影响

Influence of different warming intervention on the temperature in patients undergoing laparotomy during operation

冯星梅 1夏引芳 1王玉瑛 1朱瑞雯 2胡芳宝1

作者信息

  • 1. 上海市奉贤区中心医院,上海201400
  • 2. 上海交通大学附属第六人民医院,上海 200233
  • 折叠

摘要

Abstract

Objective To observe the effect of different warming intervention on the temperature of patients undergoing laparotomy during operation. Methods From July 2009 to March 2011 a total of 87 patients, scheduled for laparotomy under general anesthesia,were randomly assigned to two groups; routine nursing care group ( group A, ra = 44) and initiative warming group (group B, n = 43 ). In the two groups, the patients were covered with surgery blanket and given wanning irrigation solution (37 t ). Additionally the fluid wanning device (371C) was applied in group B. The nasopharyngeal temperature (NET) was recorded at the following time points: instantly after anesthesia induction,cutting, 30 min, 60 min, 90 min, 120 min, 150 min, and 180 min after cutting and at the end of operation. The time of palinesthesia, shivering and restlessness during recovery period were recorded. Results When cutting and afterward, the patients' temperature in group A was significantly lower than that in group B(P <0. 05). The time of palinesthesia in group B was shorter than that in group A( P <0.05). The incidence of shivering and restlessness during recovery period in group B was less than that in group A( P <0.05). Conclusion Initiative warming system is more efficient in maintaining stable temperature, shortening time of palinesthesia, and reducing complications in patients undergoing laparotomy during operation.

关键词

开腹手术/全身麻醉/输液加温/体温

Key words

Laparotomy/ General anesthesia/ Warming irrigation solution/ Body temperature

分类

医药卫生

引用本文复制引用

冯星梅,夏引芳,王玉瑛,朱瑞雯,胡芳宝..输液加温对全身麻醉手术患者术中体温的影响[J].上海护理,2012,12(3):22-24,3.

基金项目

本课题受上海市奉贤区科学技术发展基金项目资助(编号:奉科090604). (编号:奉科090604)

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