温度干预护理对老年患者全麻苏醒期的影响

Effect of temperature intervention nursing to senile patients during the recovery period after general anesthesia

目的:探讨保温护理措施对老年患者全麻苏醒期的影响。方法:老年全麻手术患者80例,随机分成对照组和观察组,每组40例。对照组常规护理,观察组加用保温毯、输入加温液体、DAR人工鼻气道加温湿化等综合性温度干预护理。分别监测患者麻醉前的体温,入麻醉后复苏室(post-anesthesia care unit,PACU)体温,在PACU的复温时间和停留时间及苏醒延迟、血压异常、寒战、躁动等并发症发生的情况。结果:两组术前和入PACU的体温均无统计学意义(P>0.05)。复温时间、停留时间和并发症差异均有统计学意义(P<0.01)。结论:加强对老年患者全麻苏醒期的温度干预护理,可缩短患者在PACU停留时间,减少低体温引起的各种并发症。

Objective：To investigate the incubation nursing to senile patients during the recovery period after general anesthesia.Methods：Eighty senile patients were randomly divided into control-group and survey-group,40 cases of each group.Patients in control-group were routinely cared,meanwhile,temperature intervention nursing were practiced to patients in survey-group by applying incubation tapetum,inputting warming liquid,humidificating DAR air-duct warmly etc.The prenarcotic temperature,initial temperature into post-anesthesia care unit（PACU）,rewarming and detention time in PACU were monitored and the complications such as revival time delayed,dysarteriotony,shakes,restlessness were also monitored.Results：There were no statistical significance of prenarcotic temperature and initial temperature into PACU of two groups（P〉0.05）.However,there were remarkably statistical significance of the difference of rewarming time,detention time and kinds of complications（P〈0.01）.Conclusions： Intensifying temperature intervention nursing on senile patients during anesthesia recovery period can shorten detention time in PACU and reduce the correlated complications from hypothermia.