本文選題：預(yù)判性加溫 + 經(jīng)尿道前列腺電切術(shù)��； 參考：《中國(guó)老年學(xué)雜志》2017年18期

【摘要】：目的探討預(yù)判性加溫措施對(duì)老年經(jīng)尿道前列腺電切術(shù)(TURP)患者蘇醒期應(yīng)用的可行性及效果。方法便利取樣法選擇老年行TURP患者82例,其中40例為研究組,42例為對(duì)照組。對(duì)照組給予一般保暖措施,如保證室溫恒定,體溫檢測(cè),寒戰(zhàn)患者給予復(fù)溫措施。研究組在此基礎(chǔ)上給予充氣式加溫毯保溫,輸注液體加溫。記錄兩組蘇醒時(shí)間、生命體征波動(dòng)程度及寒戰(zhàn)發(fā)生率。結(jié)果對(duì)照組低體溫狀態(tài)恢復(fù)較慢,蘇醒時(shí)間延長(zhǎng),生命體征較術(shù)前波動(dòng)范圍大,麻醉蘇醒室(PACU)停留時(shí)間長(zhǎng)。研究組帶有人工氣道時(shí)間有所縮短,蘇醒后生命體征平穩(wěn),并發(fā)癥發(fā)生率明顯低于對(duì)照組(P0.05)。結(jié)論全麻蘇醒期預(yù)判性加溫措施能夠縮短老年經(jīng)TURP患者蘇醒時(shí)間,減少術(shù)后并發(fā)癥的發(fā)生,同時(shí)提高患者舒適感與滿意度。
[Abstract]:Objective to investigate the feasibility and effect of preset warming in the recovery period of elderly patients with transurethral resection of the prostate (TURP).Methods 82 elderly patients with TURP were selected by convenient sampling method, 40 of them were in study group and 42 in control group.The control group was given general warming measures, such as constant room temperature, body temperature test, and rewarming measures for shivering patients.On this basis, the study group gave inflatable heating blanket heat preservation, infusion of liquid heating.The recovery time, the degree of fluctuation of vital signs and the incidence of shivering were recorded.Results in the control group, the recovery of hypothermia was slower, the recovery time was longer, the range of vital signs was larger than that before operation, and the stay time of PACUA in anaesthesia recovery room was longer.The time of artificial airway in the study group was shortened, the vital signs were stable and the incidence of complications was significantly lower than that in the control group (P 0.05).Conclusion Predictive warming during the recovery period of general anesthesia can shorten the recovery time of elderly patients with TURP, reduce the incidence of postoperative complications, and improve the comfort and satisfaction of the patients.
【作者單位】： 吉林大學(xué)第一醫(yī)院;
【分類號(hào)】：R614
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本文編號(hào)：1753091