CAJ | 학술논문

目的：探讨对转入麻醉复苏室（ PACU）的术后患儿采用不同的保温措施并评价其保温效果，预防患儿麻醉恢复期间不良事件的发生。方法将2012年7月-2013年7月进入PACU的60例患儿按随机数字表法随机分为观察组和对照组，每组各30例。观察组采用综合保温措施，对照组采用常规保温措施。比较两组患儿滞留PACU的时间、平均动脉压、心率、指脉氧饱和度、体温变化及苏醒期不良事件的发生情况。结果观察组患儿PACU滞留时间为（57±15）min，低于对照组（96±18）min，差异有统计学意义（t＝6．342，P＜0．05）。观察组患儿在PACU复苏过程中寒战发生率为10．0％，低于对照组（33.3％），差异有统计学意义（χ2＝7．134，P＜0．05），两组患儿低氧血症、躁动、喉痉挛发生率比较差异无统计学意义（ P＞0．05）。结论对于转入PACU的儿童实施综合保温措施能够缩短PACU的滞留时间，稳定血流动力学参数，减少恢复期寒战的发生率，提高麻醉复苏过程中患儿的安全性和护理质量。
목적：탐토대전입마취복소실（ PACU）적술후환인채용불동적보온조시병평개기보온효과，예방환인마취회복기간불량사건적발생。방법장2012년7월-2013년7월진입PACU적60례환인안수궤수자표법수궤분위관찰조화대조조，매조각30례。관찰조채용종합보온조시，대조조채용상규보온조시。비교량조환인체류PACU적시간、평균동맥압、심솔、지맥양포화도、체온변화급소성기불량사건적발생정황。결과관찰조환인PACU체류시간위（57±15）min，저우대조조（96±18）min，차이유통계학의의（t＝6．342，P＜0．05）。관찰조환인재PACU복소과정중한전발생솔위10．0％，저우대조조（33.3％），차이유통계학의의（χ2＝7．134，P＜0．05），량조환인저양혈증、조동、후경련발생솔비교차이무통계학의의（ P＞0．05）。결론대우전입PACU적인동실시종합보온조시능구축단PACU적체류시간，은정혈류동역학삼수，감소회복기한전적발생솔，제고마취복소과정중환인적안전성화호리질량。
Objective To observe the effects of comprehensive warming measures on children ’ s anesthesia recovery , in order to prevent the adverse effects of the anesthesia period .Methods In this prospective study , 60 children from July 2012 to July 2013 entering PACU were randomly divided into the experimental group and the control group , with 30 cases each . The experimental group was based on comprehensive warming measures .The control group was based on conventional warming method .The residence time in PACU, mean arterial pressure, heart rate, oxyhemoglobin saturation, body temperature changes and the complication rate in the anesthesia recovery period were compared between groups .Results The PACU residence time of the experimental group was (57 ±15)min, which was significantly lower than (96 ±18)min of the control group (t=6.342,P<0.05).The rate of chill during anesthesia recovery period was 10.0%in the experimental group, which was significantly lower than 33.3% in the control group (χ2 =7.134,P<0.05). The incidence of hypoxemia , agitation and laryngospasm had no significant differences between the two groups (P >0.05 ).Conclusions The comprehensive warming measures can reduce the PACU residence time , stabilize the hemodynamic parameters , reduce the incidence of chill and improve the safety and nursing quality during children ’ s anesthesia recovery period .