CAJ | 학술논문

目的观察术中保温对老年开胸患者生命体征的影响.方法将60例行开胸手术老年患者随机分为保温组和对照组,每组30例.保温组患者术中控制室温22～24℃,输入的液体加温至37 ℃,并选用加温至37℃的灌洗液进行胸腔冲洗;对照组患者术中仅控制室温,不采用任何保温措施.测定术前及术后核心体温,比较两组患者围手术期的收缩压、心率、体温变化和寒战发生情况.结果保温组患者术中体温维持稳定,手术前后体温、收缩压、心率、无明显变化,在人室时、消毒时和手术中1 h及手术结束前差异无统计学意义(P>0.05);对照组患者与术前及保温组比较,术中体温显著下降,收缩压、心率波动明显(P<0.01);而保温组低温(<36℃和<35℃)、寒战发生率显著低于对照组(P<0.01).结论老年开胸患者术中保温可维持患者体温的稳定,有效预防术中低温和寒战的发生.
목적 관찰술중보온대노년개흉환자생명체정적영향.방법 장60례행개흉수술노년환자수궤분위보온조화대조조,매조30례.보온조환자술중공제실온22～24℃,수입적액체가온지37 ℃,병선용가온지37℃적관세액진행흉강충세;대조조환자술중부공제실온,불채용임하보온조시.측정술전급술후핵심체온,비교량조환자위수술기적수축압、심솔、체온변화화한전발생정황.결과 보온조환자술중체온유지은정,수술전후체온、수축압、심솔、무명현변화,재인실시、소독시화수술중1 h급수술결속전차이무통계학의의(P>0.05);대조조환자여술전급보온조비교,술중체온현저하강,수축압、심솔파동명현(P<0.01);이보온조저온(<36℃화<35℃)、한전발생솔현저저우대조조(P<0.01).결론 노년개흉환자술중보온가유지환자체온적은정,유효예방술중저온화한전적발생.
Objective To observe the effects of intraoperative warming on vital signs in elderly patients undergoing thoracotomy. Methods A total of 60 elderly patients undergoing thoracotomy were randomly divided into control group (room temperature control alone, n = 30) and warming group (intraoperative warming as well as room temperature control, n = 30) . The systolic blood pressure, heart rate, body temperature and the incidence of hypothermia and shivering were recorded during operation in both groups. Results Compared to control group, the systolic blood pressure, heart rate and body temperature were stabler during operation in warming group (P < 0.01), and the incidence of hypothermia (< 36℃ and < 35℃) and shivering were lower in warming group (P <0.01) . Conclusions Intraoperntive warming can prevent hypothermia and shivering effectively in elderly patients undergoing thoracotomy.