本文選題：精準(zhǔn)肝切除術(shù) + 多模式保溫　； 參考：《山東醫(yī)藥》2017年05期

【摘要】：目的探討多模式保溫對精準(zhǔn)肝切除術(shù)患者術(shù)中低體溫的預(yù)防作用。方法選擇擇期行精準(zhǔn)肝切除術(shù)的患者56例,隨機(jī)分為A、B組各28例。兩組麻醉方法一致。A組入室后給予常規(guī)保溫;B組在常規(guī)保溫基礎(chǔ)上采用多模式保溫,入室后將室溫調(diào)至25~26℃,術(shù)中加醫(yī)用升溫毯對床墊進(jìn)行預(yù)熱,術(shù)中維持40℃左右;同時(shí)使用充氣式升溫毯覆蓋下半身,并維持體溫37~38℃;術(shù)前將輸注液體加溫至37℃,術(shù)中使用預(yù)熱至37℃的生理鹽水沖洗切口。記錄兩組術(shù)中出血量、蘇醒時(shí)間、PACU停留時(shí)間;記錄兩組在PACU期間發(fā)生的不良反應(yīng)及并發(fā)癥;于麻醉誘導(dǎo)前(T_1)、麻醉后1 h(T_2)、術(shù)畢(T_3)、離開PACU前5 min(T_4),行血?dú)夥治?比較兩組p H值、堿剩余和乳酸水平。結(jié)果兩組術(shù)中出血量比較差異無統(tǒng)計(jì)學(xué)意義(P0.05);B組蘇醒時(shí)間、PACU停留時(shí)間較A組縮短(P均0.05)。B組低體溫及惡心嘔吐、寒顫、躁動發(fā)生率低于A組(P均0.05)。與A組比較,T_4時(shí)點(diǎn)B組的p H值升高,T_3、T_4時(shí)點(diǎn)堿剩余、乳酸水平降低(P均0.05)。結(jié)論多模式保溫可有效預(yù)防精準(zhǔn)肝切除術(shù)中低體溫的發(fā)生,且能促進(jìn)患者術(shù)后麻醉恢復(fù),降低不良反應(yīng)發(fā)生率。
[Abstract]:Objective to investigate the preventive effect of multi-mode heat preservation on hypothermia during accurate hepatectomy. Methods 56 patients with selective accurate hepatectomy were randomly divided into group A (n = 28) and group B (n = 28). The anesthesia methods of group A were the same. Group B was given conventional heat preservation on the basis of conventional heat preservation. After entering the room, the room temperature was adjusted to 2526 鈩，

本文編號：1986934