CAJ | 학술논문

目的：探讨综合保温措施在PACU全麻术后预防寒战的效果，为临床护理工作提供参考。方法：将460例全麻手术患者按照随机数字表法分为常规治疗组220例和综合保温组240例。常规治疗组按常规调节室温22~25℃及覆盖棉被保温。综合保温组在常规治疗组处理的基础上采用升温毯升温，术中、术后使用各种液体、冲洗液、吸痰液，术前消毒液均用温箱加温至37℃等综合保温措施。观察两组患者手术前30 min、手术结束时、在PACU期间和转入病房前10 min的体温，清醒、拔管和离室的时间以及术后寒战发生情况。结果：综合保温组患者手术前30 min、手术结束时、在PACU期间和转入病房前10 min的体温均明显高于同期的常规治疗组，差异均有统计学意义（P<0.01）。综合保温组低体温发生率明显低于常规治疗组，寒战的分级情况明显优于常规治疗组，且清醒、拔管和离室的时间均明显短于常规治疗组，差异均有统计学意义（P<0.01）。结论：采用综合保温措施有利于对全麻术后患者的复苏，可有效预防和减轻寒战的发生，值得临床推广应用。
목적：탐토종합보온조시재PACU전마술후예방한전적효과，위림상호리공작제공삼고。방법：장460례전마수술환자안조수궤수자표법분위상규치료조220례화종합보온조240례。상규치료조안상규조절실온22~25℃급복개면피보온。종합보온조재상규치료조처리적기출상채용승온담승온，술중、술후사용각충액체、충세액、흡담액，술전소독액균용온상가온지37℃등종합보온조시。관찰량조환자수술전30 min、수술결속시、재PACU기간화전입병방전10 min적체온，청성、발관화리실적시간이급술후한전발생정황。결과：종합보온조환자수술전30 min、수술결속시、재PACU기간화전입병방전10 min적체온균명현고우동기적상규치료조，차이균유통계학의의（P<0.01）。종합보온조저체온발생솔명현저우상규치료조，한전적분급정황명현우우상규치료조，차청성、발관화리실적시간균명현단우상규치료조，차이균유통계학의의（P<0.01）。결론：채용종합보온조시유리우대전마술후환자적복소，가유효예방화감경한전적발생，치득림상추엄응용。
Objective:To study the effect of heat preservation measures in prevention chills after PACU general anesthesia,to provide reference for clinical nursing work.Method:460 patients after general anesthesia were randomly divided into the conventional treatment group for 220 cases and the comprehensive heat preservation group for 240 cases.The conventional treatment group was treated by routine to regulate room temperature(22-25 ℃) and cover with quilt.The comprehensive heat preservation group was treated with heating blanket,various liquid,rinses,sucking sputum,preoperative disinfection on the basis of routine treatment.Temperature of the two group were observed at 30 min preoperative,postoperative,during the PACU and 10 min before going back to the ward.Time of wakening,extubation, leaving the PACU and postoperative chills between the two groups were observed and compared.Result:The temperature of comprehensive heat preservation group at 30 min preoperative,postoperative,during the PACU and 10 min before going back to the ward were significantly higher than those in the same period of the conventional treatment group,the differences were statistically significant(P<0.01).The incidence of low temperature in comprehensive heat preservation group was significantly lower than that in conventional treatment group,the incidence of shivering classification was superior to conventional treatment group,the time of lucid,extubation and leaving the PACU were significantly shorter than those in the conventional treatment group,the differences were statistically significant(P<0.01).Conclusion:The comprehensive heat preservation measures conducive to the recovery of postoperative patients with general anesthesia, which can effectively prevent and reduce the chills,worthy of clinical popularization and application.