不同麻醉方式对腹部手术患者低体温发生率的影响

发布时间：2018-10-05 06:22

【摘要】：目的探究不同麻醉方式对腹部手术患者低体温发生率的影响。方法 78例开腹手术患者,按照随机数字表法分为观察组(采用腰硬联合麻醉)与对照组(采用全身麻醉),各39例。比较两组低体温发生率及寒战情况。结果两组患者在手术结束时刻(T5)的体温均较入室时(T0)显著下降,差异有统计学意义(P0.05);对照组麻醉后30 min(T2)、麻醉后60 min(T3)、麻醉后90 min(T4)时刻的体温显著低于观察组,低体温发生率显著高于对照组,组间对比差异有统计学意义(P0.05);对照组术后出现寒战的时间显著低于观察组,寒战发生率显著高于观察组,组间对比差异有统计学意义(P0.05)。结论腹部手术患者,无论是全身麻醉(全麻)或腰硬联合麻醉均会导致患者的核心体温下降,但全麻的体温下降更快,幅度更大。
[Abstract]:Objective to investigate the effect of different anesthetic methods on hypothermia in patients undergoing abdominal surgery. Methods Seventy-eight patients undergoing laparotomy were randomly divided into two groups: the observation group (treated by combined spinal-epidural anesthesia) and the control group (treated with general anesthesia), each with 39 cases. The incidence of hypothermia and shivering were compared between the two groups. Results the body temperature of the two groups at the end of operation (T5) was significantly lower than that at the time of entry (T0) (P0.05), and the body temperature of the control group at 30 min (T2), 60 min (T3) after anesthesia and 90 min (T4) after anesthesia was significantly lower than that in the observation group. The incidence of hypothermia was significantly higher than that of the control group (P0.05), the time of shivering in the control group was significantly lower than that in the observation group, and the incidence of shivering was significantly higher than that in the observation group (P0.05). Conclusion both general anesthesia (general anesthesia) and combined spinal-epidural anesthesia can lead to the decrease of core body temperature in patients undergoing abdominal surgery, but the decrease of body temperature in general anesthesia is faster and larger.
【作者单位】：广东省英德市人民医院麻醉科;
【分类号】：R614

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