本文關(guān)鍵詞： 綜合保溫措施 膝關(guān)節(jié)鏡手術(shù) 麻醉復(fù)蘇質(zhì)量　出處：《中國(guó)老年學(xué)雜志》2016年15期 　論文類型：期刊論文

【摘要】：目的探討綜合保溫措施對(duì)老年膝關(guān)節(jié)鏡手術(shù)患者麻醉復(fù)蘇質(zhì)量的影響。方法 68例擇期行單側(cè)膝關(guān)節(jié)鏡手術(shù)的老年患者,按照隨機(jī)數(shù)字表法分為實(shí)驗(yàn)組與對(duì)照組各34例,對(duì)照組患者入室后給予單一、常規(guī)的保溫措施,實(shí)驗(yàn)組在常規(guī)保溫措施上給予術(shù)前預(yù)熱、術(shù)中保溫、術(shù)后保溫等綜合保溫措施。結(jié)果實(shí)驗(yàn)組在手術(shù)進(jìn)行60 min(T1)與手術(shù)結(jié)束時(shí)(T2)兩個(gè)節(jié)點(diǎn)體溫較對(duì)照組具有明顯的優(yōu)勢(shì)(P0.01);同時(shí),實(shí)驗(yàn)組患者拔管時(shí)間及術(shù)畢送入麻醉蘇醒室(PACU)停留時(shí)間均較對(duì)照組時(shí)間短,術(shù)后并發(fā)癥發(fā)生率也低于對(duì)照組。結(jié)論綜合保溫措施能夠有效維持老年膝關(guān)節(jié)鏡手術(shù)患者的核心體溫,預(yù)防因麻醉引起的低體溫;同時(shí),縮短了拔管時(shí)間與PACU停留時(shí)間,降低了寒戰(zhàn)、惡心嘔吐等并發(fā)癥的發(fā)生率,從而改善了麻醉后復(fù)蘇的質(zhì)量,值得推廣與應(yīng)用。
[Abstract]:Objective to investigate the effect of comprehensive thermal insulation on anaesthesia and resuscitation in elderly patients undergoing knee arthroscopy. Methods Sixty-eight elderly patients undergoing unilateral knee arthroscopy were divided into experimental group (n = 34) and control group (n = 34). The patients in the control group were given single and routine heat preservation measures after entering the room. The experimental group was preheated before operation and kept warm during the operation. Results compared with the control group, the body temperature of the two nodes in the experimental group was significantly higher than that in the control group (60 min / T 1) and at the end of the operation (P < 0.01), and the temperature of the two nodes was significantly higher than that of the control group (P < 0.05). The extubation time and the stay time of the patients in the experimental group were shorter than those in the control group. Conclusion the comprehensive heat preservation measures can effectively maintain the core body temperature of the elderly patients undergoing arthroscopic surgery, prevent hypothermia caused by anesthesia, and shorten the extubation time and the PACU residence time. It can reduce the incidence of shivering, nausea and vomiting, and improve the quality of anaesthesia resuscitation, which is worth popularizing and applying.
【作者單位】： 吉林大學(xué)第一醫(yī)院;
【分類號(hào)】：R614

【參考文獻(xiàn)】

相關(guān)期刊論文 前6條

1 唐佳;李冬雪;王志成;;老年圍術(shù)期低體溫與感染的相關(guān)性研究[J];中華醫(yī)院感染學(xué)雜志;2015年02期

2 熊彥;包天秀;江穎;;核心體溫維持對(duì)老年腹腔手術(shù)患者圍麻醉期的臨床價(jià)值[J];中國(guó)老年學(xué)雜志;2014年04期

3 王維佳;王歡;吳慧穎;王微;;輸液預(yù)加溫對(duì)預(yù)防圍術(shù)期低體溫的效果分析[J];中國(guó)醫(yī)科大學(xué)學(xué)報(bào);2013年12期

4 張益群;謝佩飛;徐培君;朱巧巧;;加溫生理鹽水用于腹腔沖洗的效果觀察[J];護(hù)士進(jìn)修雜志;2013年09期

5 劉剛;蘇曉曼;閆秋菊;楊婷;;手術(shù)室護(hù)士對(duì)術(shù)中低體溫認(rèn)知現(xiàn)狀及影響因素調(diào)查[J];中華現(xiàn)代護(hù)理雜志;2012年28期

6 肖蕊;金三麗;金洋;;灌洗液溫度對(duì)肩關(guān)節(jié)鏡手術(shù)患者體溫的影響[J];中國(guó)實(shí)用護(hù)理雜志;2012年09期

【共引文獻(xiàn)】

相關(guān)期刊論文 前10條

1 陳思;薛f唐，

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