不同保温温度对腹部手术患儿体温变化的影响
发布时间:2018-03-19 00:18
本文选题:腹部 切入点:外科手术 出处:《中华护理杂志》2016年05期 论文类型:期刊论文
【摘要】:目的探讨不同保温温度对腹部手术患儿体温变化的影响。方法选取腹部手术患儿90例,所有患儿术中均使用充气加温毯保温。随机分为3组,每组30例,分别为:中档组(38℃),高档组(43℃),综合组(高档43℃1h后,调为中档38℃),手术中持续监测患儿鼓膜温度变化,比较不同温度档的效果。结果三组患儿入手术室后、麻醉后、切皮时的体温比较,差异均无统计学意义(P0.05);切皮后30、60、90、120min时,综合组体温与中档组、高档组比较,差异均有统计学意义(F=18.522,P0.001;F=30.123,P0.001;F=35.098,P0.001;F=66.017,P0.001),中档组患儿术中低温、术后寒战的发生率高于其余两组,高档组发热的效率高于其余两组。结论使用充气加温毯时,先调至高档43℃1h后转为中档38℃,可保持婴幼儿腹部手术患儿体温平稳,有效减少低体温及其并发症的发生。
[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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