当代护士（下旬刊）
噹代護士（下旬刊）
당대호사（하순간）
Today Nurse
2015年
10期
105-107
,共3页
二氧化碳加温%腹腔镜%妇科%体温%应激反应
二氧化碳加溫%腹腔鏡%婦科%體溫%應激反應
이양화탄가온%복강경%부과%체온%응격반응
Carbon dioxide warming%Laparoscope%Gynecology%Body temperature%Stress response
目的 探讨二氧化碳加温对妇科腹腔镜手术患者围手术期体温及应激反应的影响,并提出相应的护理对策. 方法 将60例行腹腔镜下广泛全子宫切除+盆腔淋巴清扫术的患者随机分为加温组( 30例)和对照组( 30例) ,记录两组术前、术中和术后的体温、肾上腺素和去甲肾上腺素的变化情况,以及术后寒战发生率和麻醉复苏时间,并进行比较.结果 加温组患者从手术开始后60 min至术后3 h的体温均高于对照组,两组体温差异有统计学意义(P<0.05). 术后寒战发生率分别为加温组23.33%和对照组73.33%,麻醉复苏时间分别为加温组(11.70±3.10)min以及对照组(14.73±3.70)min,两组间的差异均有统计学意义(P<0.05). 两组气腹后的肾上腺素和去甲肾上腺素浓度均比气腹前有所升高,但加温组升高的幅度明显小于对照组( P<0.05). 结论 妇科腹腔镜手术中使用二氧化碳加温,可明显降低围手术期低体温和术后寒战的发生率,减轻术中应激反应,缩短术后麻醉的复苏时间.
目的 探討二氧化碳加溫對婦科腹腔鏡手術患者圍手術期體溫及應激反應的影響,併提齣相應的護理對策. 方法 將60例行腹腔鏡下廣汎全子宮切除+盆腔淋巴清掃術的患者隨機分為加溫組( 30例)和對照組( 30例) ,記錄兩組術前、術中和術後的體溫、腎上腺素和去甲腎上腺素的變化情況,以及術後寒戰髮生率和痳醉複囌時間,併進行比較.結果 加溫組患者從手術開始後60 min至術後3 h的體溫均高于對照組,兩組體溫差異有統計學意義(P<0.05). 術後寒戰髮生率分彆為加溫組23.33%和對照組73.33%,痳醉複囌時間分彆為加溫組(11.70±3.10)min以及對照組(14.73±3.70)min,兩組間的差異均有統計學意義(P<0.05). 兩組氣腹後的腎上腺素和去甲腎上腺素濃度均比氣腹前有所升高,但加溫組升高的幅度明顯小于對照組( P<0.05). 結論 婦科腹腔鏡手術中使用二氧化碳加溫,可明顯降低圍手術期低體溫和術後寒戰的髮生率,減輕術中應激反應,縮短術後痳醉的複囌時間.
목적 탐토이양화탄가온대부과복강경수술환자위수술기체온급응격반응적영향,병제출상응적호리대책. 방법 장60례행복강경하엄범전자궁절제+분강림파청소술적환자수궤분위가온조( 30례)화대조조( 30례) ,기록량조술전、술중화술후적체온、신상선소화거갑신상선소적변화정황,이급술후한전발생솔화마취복소시간,병진행비교.결과 가온조환자종수술개시후60 min지술후3 h적체온균고우대조조,량조체온차이유통계학의의(P<0.05). 술후한전발생솔분별위가온조23.33%화대조조73.33%,마취복소시간분별위가온조(11.70±3.10)min이급대조조(14.73±3.70)min,량조간적차이균유통계학의의(P<0.05). 량조기복후적신상선소화거갑신상선소농도균비기복전유소승고,단가온조승고적폭도명현소우대조조( P<0.05). 결론 부과복강경수술중사용이양화탄가온,가명현강저위수술기저체온화술후한전적발생솔,감경술중응격반응,축단술후마취적복소시간.
Objective To investigate the effect of pneumoperitoneum with carbon dioxide warming on body temperature and stress response of perioperative period in patients undergoing gynecological laparoscopic surgery, and to provide corresponding nursing strategy. Methods 60 patients undergoing laparoscopic radical hysterectomy and pelvic lymphadenectomy were randomly divided into warming group ( 30 cases) and control group ( 30 cases) . The changes of body temperature, adrenaline ( AD) and norepinephrine ( NE) during perioperative period, the in-cidence of postoperative shivering, as well the anesthesia recovery time were recorded and compared between the two groups. Results The body temperatures from 60min after the beginning of the operation to 3h after operation in the warming group were higher than the control group ( P<0.05) . The postoperative shivering rate were 23.33% in the warming group and 73.33% in the control group, the recovery time af-ter anesthesia were (11.70±3.10)min in the warming group and (14.73±3.70)min in the control group, there was statistical significance be-tween the two groups(P<0.05), respectively. The concentrations of AD and NE after pneumoperitoneum were increased than those before pneumoperitoneum, but those of warming group were increased obviously smaller than control group(P<0.05). Conclusion The usage of carbon dioxide warming in gynecological laparoscopic surgery could significantly reduce the incidence of low body temperature perioperative period and the postoperative shivering rate, lessen the intraoperative stress response, and shorten the recovery time after anesthesia.
