保溫干預(yù)對患兒扁桃體切除術(shù)圍麻醉期的影響
發(fā)布時間:2018-02-27 14:10
本文關(guān)鍵詞: 保溫 寒戰(zhàn) 躁動 蘇醒時間 拔管時間 出處:《廣東醫(yī)學(xué)》2017年S1期 論文類型:期刊論文
【摘要】:目的研究保溫措施對患兒扁桃體切除術(shù)全麻圍麻醉期的影響。方法選取全麻下行雙側(cè)扁桃體切除術(shù)且年齡14歲的患兒58例,隨機分為兩組(對照組32例和觀察組26例),對照組患兒常規(guī)溫度處理:所輸液體均為常溫(20~22℃),不使用保溫毯。觀察組患兒所輸液體全部采用靜脈輸液保溫裝置加溫至39~40℃(由于加溫液體經(jīng)一段延長管連接患者靜脈,造成熱量損失,故加熱溫度需略高于37℃),術(shù)中下半身覆蓋充氣保溫毯,工作溫度設(shè)置在中檔(36~40℃)。兩組患者術(shù)中均按常規(guī)鋪單,術(shù)后覆蓋毛毯返回麻醉后監(jiān)測治療室(PACU)。對比分析兩組患兒術(shù)中生命體征差異及術(shù)后恢復(fù)情況。結(jié)果觀察組患兒麻醉后清醒時間和拔管時間均明顯短于對照組(P0.05);觀察組患者的總體生命體征、寒戰(zhàn)、躁動發(fā)生率和對照組相比,差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論麻醉后適當(dāng)保溫,有助于縮短患兒的蘇醒及拔管時間,效果顯著,值得推廣。
[Abstract]:Objective to study the effect of heat preservation measures on perianaesthesia period of general anesthesia in children with tonsillectomy. Methods 58 children with bilateral tonsillectomy under general anesthesia and aged 14 years were selected. They were randomly divided into two groups (32 cases in the control group and 26 cases in the observation group). The routine temperature treatment of the children in the control group was as follows: all the fluids were given at normal temperature of 2022 鈩,
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