不同保溫溫度對(duì)腹部手術(shù)患兒體溫變化的影響
發(fā)布時(shí)間:2018-03-19 00:18
本文選題:腹部 切入點(diǎn):外科手術(shù) 出處:《中華護(hù)理雜志》2016年05期 論文類(lèi)型:期刊論文
【摘要】:目的探討不同保溫溫度對(duì)腹部手術(shù)患兒體溫變化的影響。方法選取腹部手術(shù)患兒90例,所有患兒術(shù)中均使用充氣加溫毯保溫。隨機(jī)分為3組,每組30例,分別為:中檔組(38℃),高檔組(43℃),綜合組(高檔43℃1h后,調(diào)為中檔38℃),手術(shù)中持續(xù)監(jiān)測(cè)患兒鼓膜溫度變化,比較不同溫度檔的效果。結(jié)果三組患兒入手術(shù)室后、麻醉后、切皮時(shí)的體溫比較,差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);切皮后30、60、90、120min時(shí),綜合組體溫與中檔組、高檔組比較,差異均有統(tǒng)計(jì)學(xué)意義(F=18.522,P0.001;F=30.123,P0.001;F=35.098,P0.001;F=66.017,P0.001),中檔組患兒術(shù)中低溫、術(shù)后寒戰(zhàn)的發(fā)生率高于其余兩組,高檔組發(fā)熱的效率高于其余兩組。結(jié)論使用充氣加溫毯時(shí),先調(diào)至高檔43℃1h后轉(zhuǎn)為中檔38℃,可保持嬰幼兒腹部手術(shù)患兒體溫平穩(wěn),有效減少低體溫及其并發(fā)癥的發(fā)生。
[Abstract]:Objective to investigate the effect of different heat preservation temperature on temperature changes in children undergoing abdominal surgery. Methods 90 children with abdominal surgery were selected, all of them were treated with inflatable warm blanket during operation, and were randomly divided into 3 groups, 30 cases in each group. The results were as follows: middle grade group (38 鈩,
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