陕西医学杂志
陝西醫學雜誌
협서의학잡지
SHAANXI MEDICAL JOURNAL
2014年
1期
78-80
,共3页
聂玲%魏宏%刘萍%罗晓敏%吕倩茹
聶玲%魏宏%劉萍%囉曉敏%呂倩茹
섭령%위굉%류평%라효민%려천여
寒战/药物作用%寒战/治疗%曲马朵/治疗应用%保温毯保暖
寒戰/藥物作用%寒戰/治療%麯馬朵/治療應用%保溫毯保暖
한전/약물작용%한전/치료%곡마타/치료응용%보온담보난
Shivering/drug effective%Shivering/therapy%Tramadol/therapeutic use%Heat protecing blanket
目的:探讨不同干预措施对全麻苏醒期寒战的影响。方法:选择100例妇科腹腔镜手术且在苏醒期发生寒战的患者,随机分为四组,每组25例。寒战发生后,A组给予充气式保温毯保暖;B组给予缓慢静脉注射曲马多1mg/kg ;C组给予充气式保温毯保暖,缓慢静脉注射曲马多1mg/kg ;D组为对照组,给予等量生理盐水静脉注射。观察并记录干预前(T1)、干预后5min(T2)和15min(T3)患者的寒战级别,患者的不良反应(恶心呕吐、头晕等)和返回病房后2h内寒战复发率,以及核心温度(鼓膜温度)的变化。结果:T1时点四组患者寒战程度无显著性差异( P>0.05);T2时点A、B、C组寒战等级低于D组(P<0.05),与A组比较,B、C组寒战疗效更好(P<0.05);T3时点A、B、C组疗效优于D组(P<0.05);A、B、C三组间比较C组疗效最佳(P<0.05)。四组患者各个时间点鼓膜温度无显著性差异(P>0.05)。返回病房后2h内寒战复发率C组明显低于A、B、D组(P<0.05);B、C组不良反应率比较无显著性差异(P>0.05)。结论:充气式保温毯加曲马多,对治疗全麻苏醒期寒战效果显著,不良反应少,且寒战复发率低。
目的:探討不同榦預措施對全痳囌醒期寒戰的影響。方法:選擇100例婦科腹腔鏡手術且在囌醒期髮生寒戰的患者,隨機分為四組,每組25例。寒戰髮生後,A組給予充氣式保溫毯保暖;B組給予緩慢靜脈註射麯馬多1mg/kg ;C組給予充氣式保溫毯保暖,緩慢靜脈註射麯馬多1mg/kg ;D組為對照組,給予等量生理鹽水靜脈註射。觀察併記錄榦預前(T1)、榦預後5min(T2)和15min(T3)患者的寒戰級彆,患者的不良反應(噁心嘔吐、頭暈等)和返迴病房後2h內寒戰複髮率,以及覈心溫度(鼓膜溫度)的變化。結果:T1時點四組患者寒戰程度無顯著性差異( P>0.05);T2時點A、B、C組寒戰等級低于D組(P<0.05),與A組比較,B、C組寒戰療效更好(P<0.05);T3時點A、B、C組療效優于D組(P<0.05);A、B、C三組間比較C組療效最佳(P<0.05)。四組患者各箇時間點鼓膜溫度無顯著性差異(P>0.05)。返迴病房後2h內寒戰複髮率C組明顯低于A、B、D組(P<0.05);B、C組不良反應率比較無顯著性差異(P>0.05)。結論:充氣式保溫毯加麯馬多,對治療全痳囌醒期寒戰效果顯著,不良反應少,且寒戰複髮率低。
목적:탐토불동간예조시대전마소성기한전적영향。방법:선택100례부과복강경수술차재소성기발생한전적환자,수궤분위사조,매조25례。한전발생후,A조급여충기식보온담보난;B조급여완만정맥주사곡마다1mg/kg ;C조급여충기식보온담보난,완만정맥주사곡마다1mg/kg ;D조위대조조,급여등량생리염수정맥주사。관찰병기록간예전(T1)、간예후5min(T2)화15min(T3)환자적한전급별,환자적불량반응(악심구토、두훈등)화반회병방후2h내한전복발솔,이급핵심온도(고막온도)적변화。결과:T1시점사조환자한전정도무현저성차이( P>0.05);T2시점A、B、C조한전등급저우D조(P<0.05),여A조비교,B、C조한전료효경호(P<0.05);T3시점A、B、C조료효우우D조(P<0.05);A、B、C삼조간비교C조료효최가(P<0.05)。사조환자각개시간점고막온도무현저성차이(P>0.05)。반회병방후2h내한전복발솔C조명현저우A、B、D조(P<0.05);B、C조불량반응솔비교무현저성차이(P>0.05)。결론:충기식보온담가곡마다,대치료전마소성기한전효과현저,불량반응소,차한전복발솔저。
Objective :To examine the effects of different interventions on shivering during general anes-thesia recovery .Methods :100 patients scheduled for elective gynecologic laparo-scopic operations ,were randomly divided into four groups .Group A was received heat protecing blanket after shivering ;Group B intravenous injection tramadol 1mg/kg ;Group C both heat protecing blanket and tramadol ;Group D intravenous injection normul suline (as a control group) .Patients were observed in terms of the degree of shivering at times before intervention (T1 ) ,5 minutes (T2 )and 15 minutes(T3 ) after interventions .The side effects、core temperature and recurrence rate of shive-ring were also observed .Results : At T1 the degree of shivering had no significant differents among four groups . At T2 the degree of shivering in Group A、B、C was significantly lower than that in Group D ,and compared with Group A ,the degree of shivering in Group B、C was significantly low .At T3 compared with Group D ,the degree of shivering in GroupA、B、C was significantly low ,and than that in Group C was the lowest .The core temperature during the anesthesia and recovery was similar in all groups .The recurrent rate of shivering in Group C was signifi-cantly lower than Group A、B and D within two hours after back to the ward .The adverse effects between Group B and C were similar .Conclusion :Heat protecing blanket and tramadol can effectively treat shivering during general anesthesia recovery ,reduce the recurrence rate ,of shivering with less adverse reaction .