低温对麻醉中患者的影响

In Patients with Mild Hypothermia on the Impact of Anesthesia

目的：观察全身麻醉与硬膜外麻醉中体温的变化规律及低温对麻醉中患者的影响,为加强术后体温护理提供依据。方法：选择全麻开腹手术患者60例,ASAⅠ-Ⅱ级。随机分为两组,全麻组30例硬膜外组30例,两组生命体征均维持稳定,室内温度维持在22-25度。常规铺单外不做保温处理观察两组术前,术中及术毕体温变化,术毕时寒颤及躁动的发生率。结果：与术前比较,术中和术毕两组体温明显降低,组间比较差异有显著性,术毕完全清醒时全麻组比硬膜外组寒颤,躁动发生率高。结论：体温降低对寒颤躁动的发生率有影响,麻醉手术中应监测体温,注意体温的保护以降低上述反应的发生。

Objective： Hypothermia on the narcotic effect observed in patients with general anesthesia and epidural anesthesia in the changes of temperature and low temperature on the effects of anesthesia, Post- operative care for strengthening the body temperature provide a basis. Methods：General anesthesia laparoto- my patients with 60 cases, ASA I - lI. According to randomly divided into two groups, the general anes- thesia group of 30 patients, epidural group of 30 patlents, two groups of vital signs are stable, The indoor temperature maintained at 22 -25 degrees , Conventional single -shop, not to deal with insulation . Con- ventional single - shop, not to deal with thermal insulation of the two groups were observed before, during and the end of operation temperature changes, the end of operation, chills and the incidence of restless . Restflts： Compared with the preoperative, and the end of operation of the two groups in body temperature de- creased significantly, the difference between groups was significant, completely sober at the end of operation group than epidural anesthesia group chills, the high incidence of agitation. Conclusion： Lower the body temperature of the chilis affect the incidence of irritability, narcotic operation should monitor the body tem- perature of attention to the protection of the body temperature to reduce the occurrence of these reactions.