不同保温措施对全身麻醉肺癌手术病人麻醉恢复期的影响

Influence of different incubation measures on anesthesia recovery period of lung cancer patients undergoing operation under general anesthesia

[目的]探讨不同保温措施对全身麻醉肺癌手术病人麻醉恢复期的影响。[方法]开胸手术病人80例,采用随机数字表法随机分为4组各20例,各组均在室温下进行手术,常温组(C组)不做特殊处理;电子液体加温组(L组)输液、输血采用电子液体加温仪保温;风热毯保温组(W组)采用风热毯覆盖非手术区,以鼓风机鼓43℃热风保温;综合组(B组)采用电子液体加温和风热毯机保温。观察各组病人血压、心电图、鼻咽温、尿量、引流量等的变化,并记录麻醉苏醒期血压异常、心律失常、苏醒延迟、寒战、躁动等发生情况。[结果]4组病人苏醒期并发症发生率比较有统计学意义(P<0.01或P<0.05),B组并发症发生率明显低于其他3组。[结论]肺癌手术病人采取综合保温措施可缩短麻醉恢复期,减少各种并发症的发生率。

Objective： To probe into the influence of different incubation measures on anesthesia recovery period of lung cancer patients undergoing operation under general anesthesia. Methods： A total of 80 lung cancer patients undergoing thoracotomy were divided into four groups randomly by adopting random digits table （20 cases each）. All cases have undergone operation under room temperature. Patients of control group （group C） have undergone operation under normal temperature without any special handling. Patients of electronic fluids warming group （group L） were accepted fluids and blood transfusion warmed with electronic fluids warmer during operation. Patients of wind - heat blanket machine group （group W） were covered with wind- heat blanket on their non- operation areas and blowing blasts of 43℃; warm wind during operation. And patients of comprehensive group （group B） were warmed by both electronic fluid warmer and wind - heat blanket. Then, changes of blood pressure, ECG, temperature of nasopharynx, urine volume, volume of drainage of all cases were observed. And the occurrences of dysarteriotony, arrhythmia, analepsia delay, shiver and restlessness in analepsia period of anesthesia among them were recorded. Results： There were statistical significant differences in incidence of complications in analepsia period of anesthesia among the 4 groups cases （P〈0.01, or P〈0.05）. And the incidence of compli- cations in group B patients was lower than that of the other 3 groups. Conclusion： Comprehensive warming measures for lung cancer patients undergoing operation can shorten anesthesia recovery period and decrease the incidence of complications for them.