CAJ | 학술논문

探讨全麻术后早期寒颤与非寒颤病人体温恢复和耗氧量变化的关系。方法：随机对21例寒颤和29例非寒颤病人的鼓膜温度和耗氧量进行监测，比较两组病人手术结束到术后40分鼓膜温度和耗氧量的变化，并对寒颤前后耗氧量进行比较。结果：两组病人的鼓膜温度均无显著升高，升高程度两组间也无显著性差异。术后40分的耗氧量都高于手术结束时，寒颤病人耗氧量增加显著，寒颤后耗氧量高于寒颤前。结论：寒颤对全麻术后早期病人体温恢复没有显著影响，相反增加耗氧量。
탐토전마술후조기한전여비한전병인체온회복화모양량변화적관계。방법：수궤대21례한전화29례비한전병인적고막온도화모양량진행감측，비교량조병인수술결속도술후40분고막온도화모양량적변화，병대한전전후모양량진행비교。결과：량조병인적고막온도균무현저승고，승고정도량조간야무현저성차이。술후40분적모양량도고우수술결속시，한전병인모양량증가현저，한전후모양량고우한전전。결론：한전대전마술후조기병인체온회복몰유현저영향，상반증가모양량。
To probe into the relationship between the recoveries of body temperature and the changes of oxygen consumption of shivering or non-shivering patients in the postoperative forepart after general anesthesia. Methods:The tympanic temperatures and oxygen consumptions were randomly observed in 21 shivering and 29 non-shivering patients. The changes of tympanic temperatures and oxygen consumptions from the end of operation to 40 minutes after operation were compared between the two group patients,and the oxygen consumptions between before and after shivering were also compared. Results: The tympanic temperatures of all the two group patients did not significantly increase, and there was no significant difference in the increase degree between the two groups. All the oxygen consumptions at 40 minutes after operation were very significantly higher than those at the end of operation, the increase of oxygen consumptions in shivering patients markedly more than that in non-shivering patients, and the oxygen consumptions after shivering was very significantly higher than those before shivering. Conclusion:Shivering has no significant effect on the recovery of body temperature in the postoperative forepart after general anesthesia and increases the oxygen consumptions contrarily.