CAJ | 학술논문

目的探讨麻醉恢复期患者实施不同保温措施的临床效果.方法选择全身麻醉胸腹部手术后转入麻醉恢复室患者80例,按随机数字表法分为观察组和对照组,每组各40例.对照组常规护理措施:提前将PACU的室温提高,患者术后入麻醉恢复室(PACU)时,覆盖棉被保暖,更换潮湿的衣服,做好肢体保暖等常规护理.观察组在常规护理基础上加用电热毯将PACU床上用品升温保暖,更换使用YJG-80医用加温箱保温37℃左右的输液,用升温仪进行保温,将温度控制在38℃.对比分析两组患者体温、血压,在PACU复温时间、清醒时间及并发症发生率.结果两组患者麻醉前和入PACU的体温比较差异无统计学意义(P＞0.05),观察组患者复温时间(30.0±7.0) min、清醒时间(40.0±10.0) min,对照组患者复温时间(47.0±12.0) min、清醒时间(73.0±12.0) min,观察组并发症发生率低于对照组,两组患者复温时间、清醒时间和并发症发生率等方面比较差异有统计学意义(P＜0.05).结论采用综合的保温护理干预措施可以有效缩短复温时间,减少患者在PACU的停留时间,并降低苏醒期并发症,有利于患者安全渡过苏醒期.
목적 탐토마취회복기환자실시불동보온조시적림상효과.방법 선택전신마취흉복부수술후전입마취회복실환자80례,안수궤수자표법분위관찰조화대조조,매조각40례.대조조상규호리조시:제전장PACU적실온제고,환자술후입마취회복실(PACU)시,복개면피보난,경환조습적의복,주호지체보난등상규호리.관찰조재상규호리기출상가용전열담장PACU상상용품승온보난,경환사용YJG-80의용가온상보온37℃좌우적수액,용승온의진행보온,장온도공제재38℃.대비분석량조환자체온、혈압,재PACU복온시간、청성시간급병발증발생솔.결과 량조환자마취전화입PACU적체온비교차이무통계학의의(P＞0.05),관찰조환자복온시간(30.0±7.0) min、청성시간(40.0±10.0) min,대조조환자복온시간(47.0±12.0) min、청성시간(73.0±12.0) min,관찰조병발증발생솔저우대조조,량조환자복온시간、청성시간화병발증발생솔등방면비교차이유통계학의의(P＜0.05).결론 채용종합적보온호리간예조시가이유효축단복온시간,감소환자재PACU적정류시간,병강저소성기병발증,유리우환자안전도과소성기.
Objective To investigate the clinical effect of the different thermal insulation measures on anesthesia recovery period.Methods 80 patients undergoing general anesthesia for thoracic and abdominal operation were randomly divided into observation group and control group,40 cases in each group.Control group used routine nursing such as increasing the temperature of the PACU room before accepting the patients,covering the quilt and replacing the wet clothes.Observation group used electric blanket and YJG-80 infusion heating apparatus,based on routine nursing.Comparative analysis was carried out to two groups with rewarming time,awaking time and complication rate.Results There was no significant difference in temperature of two groups of patients before anesthesia or just arrived PACU (P ＞ 0.05),the rewarming time of patients in observation group was (30.0 ± 7.0) min,awake time was (40.0 ± 10.0) min,the control group patients' rewarming time was (47.0 ± 12.0) min,awake time was (73.0 ± 12.0) min,the incidence of complications in observation group was lower than that of control group,the differences in the rewarming time,the awake timeand the complications were statistically significant (P ＜ 0.05).Conclusion The general heat preservation measures are integrated to reduce the complications in the recovery period,and can shorten the rewarming time and the residence time in PACU.