CAJ | 학술논문

目的：探讨术中保温对胃癌手术患者麻醉恢复期的影响。方法选择气管插管全麻手术胃癌根治手术患者40例，ASAⅠ-Ⅱ级。随机分为观察组与对照组，每组各20例，对照组按常规调节室温24～26℃及覆盖棉被；观察组在对照组常规处理的基础上，还采用充气升温毯，术中使用血液/液体升温进行输血输液，腹腔冲洗液用液体加温箱加温至37～39℃等综合保温措施。观察两组围术期体温及术后拨管时间、苏醒时间、寒颤及躁动的发生率。结果对照组患者体温降低、苏醒延迟、寒颤、躁动等发生率较观察组明显增加（P<0.05）。结论术中积极采用综合保温措施可减少胃癌手术患者麻醉恢复期低体温、苏醒延迟、寒颤及躁动等发生率。
목적：탐토술중보온대위암수술환자마취회복기적영향。방법선택기관삽관전마수술위암근치수술환자40례，ASAⅠ-Ⅱ급。수궤분위관찰조여대조조，매조각20례，대조조안상규조절실온24～26℃급복개면피；관찰조재대조조상규처리적기출상，환채용충기승온담，술중사용혈액/액체승온진행수혈수액，복강충세액용액체가온상가온지37～39℃등종합보온조시。관찰량조위술기체온급술후발관시간、소성시간、한전급조동적발생솔。결과대조조환자체온강저、소성연지、한전、조동등발생솔교관찰조명현증가（P<0.05）。결론술중적겁채용종합보온조시가감소위암수술환자마취회복기저체온、소성연지、한전급조동등발생솔。
Objective To investigate the intraoperative warming influence of gastric surgery patients recovering from anesthesia. Methods general anesthesia surgery in 40 patients with gastric cancer surgery, ASA Ⅰ - Ⅱ grade. Were randomly divided into observation group and control group, n = 20 patients in the control group to adjust room temperature by conventional 24 - 26 ℃ and cover quilts; observation group on the basis of the conventional treatment group, also uses inflatable warming blanket, intraoperative use blood / fluid warming conduct blood transfusion, peritoneal washing liquid heating tank heated to 37 - 39 ℃ comprehensive insulation measures. Body temperature were observed perioperative and postoperative extubation time, recovery time, the incidence of chils and restlessness. The results hypothermia patients in the control group, delayed recovery, chils, agitation, etc. The incidence increased significantly compared with the observation group (P <0.05). Conclusion Intraoperative actively integrated insulation measures to reduce gastric surgery patients recovering from anesthesia hypothermia, delayed recovery, chils and restlessness incidence.