保温干预对患儿扁桃体切除术围麻醉期的影响

发布时间：2018-02-27 14:10

  本文关键词： 保温 寒战 躁动 苏醒时间 拔管时间　出处：《广东医学》2017年S1期 　论文类型：期刊论文

【摘要】：目的研究保温措施对患儿扁桃体切除术全麻围麻醉期的影响。方法选取全麻下行双侧扁桃体切除术且年龄14岁的患儿58例,随机分为两组(对照组32例和观察组26例),对照组患儿常规温度处理:所输液体均为常温(20~22℃),不使用保温毯。观察组患儿所输液体全部采用静脉输液保温装置加温至39~40℃(由于加温液体经一段延长管连接患者静脉,造成热量损失,故加热温度需略高于37℃),术中下半身覆盖充气保温毯,工作温度设置在中档(36~40℃)。两组患者术中均按常规铺单,术后覆盖毛毯返回麻醉后监测治疗室(PACU)。对比分析两组患儿术中生命体征差异及术后恢复情况。结果观察组患儿麻醉后清醒时间和拔管时间均明显短于对照组(P0.05);观察组患者的总体生命体征、寒战、躁动发生率和对照组相比,差异有统计学意义(P0.05)。结论麻醉后适当保温,有助于缩短患儿的苏醒及拔管时间,效果显著,值得推广。
[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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