综合保温措施对老年膝关节镜手术患者麻醉复苏质量的影响

发布时间：2018-03-01 12:22

本文关键词： 综合保温措施膝关节镜手术麻醉复苏质量　出处：《中国老年学杂志》2016年15期 　论文类型：期刊论文

【摘要】：目的探讨综合保温措施对老年膝关节镜手术患者麻醉复苏质量的影响。方法 68例择期行单侧膝关节镜手术的老年患者,按照随机数字表法分为实验组与对照组各34例,对照组患者入室后给予单一、常规的保温措施,实验组在常规保温措施上给予术前预热、术中保温、术后保温等综合保温措施。结果实验组在手术进行60 min(T1)与手术结束时(T2)两个节点体温较对照组具有明显的优势(P0.01);同时,实验组患者拔管时间及术毕送入麻醉苏醒室(PACU)停留时间均较对照组时间短,术后并发症发生率也低于对照组。结论综合保温措施能够有效维持老年膝关节镜手术患者的核心体温,预防因麻醉引起的低体温;同时,缩短了拔管时间与PACU停留时间,降低了寒战、恶心呕吐等并发症的发生率,从而改善了麻醉后复苏的质量,值得推广与应用。
[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.
【作者单位】：吉林大学第一医院;
【分类号】：R614

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