摘要
目的 :观察不同温度下输液对手术病人体温及热量的影响。方法 :将 5 6例子宫全切病人随机分为两组 ,温液体组和室温液体组。分别于麻醉前及麻醉后 15、30、6 0、12 0min和术终记录肛温、热量和寒战反应 ,并进行统计学比较。结果 :硬膜外阻滞麻醉后 30min两组病人肛温升高 0 .5℃后渐降 ,温液体组病人较室温组肛温降低幅度小 ,无热量丢失、寒战反应发生率低 (P <0 .0 1)。寒战病人肛温较非寒战病人者低 (P <0 .0 1) ,热量丢失多。结论 :预热静脉液体不仅可避免因输注液体温度低而引起的肢体发凉、发麻、胀疼、寒战 ,还可以防止术中体温降低和热量丢失。
Objective:To evaluate the effect of the temperature and heat with defferent temperature of the intravenous injection.Method:56 patients undertaking Hysterectomy were randomized to two groups:Warm fluid group ( n =34,fluid warming at 37~38℃) and control group( n =22 roomtemperature fluid approximately at 21℃).All patients received regular L2-3 epidural anesthesia.Rectal temperature,heat loss and the incidence of shivering were measured at baseline and at 15 min,30min,60min,120min after epidural block.Results:Rectal temperature was increased about 0.5℃in two groups at 30min after epidurl block,heat loss and rectal temperature were significantly lower in control group than warm fluid group ( P <0.01).The incidence of shivering was also higher in control than warm fluid group( P <0.001).Shivering patients had lower rectal temperature and more heat loss than non-shivering patients ( P <0.01).Conclusion:Warm fluid can not only avoid the body cooling,numbness,pain,shivering,but also prevent intraoperative hypothermia and body heat loss. Author's address Operating Room,Affiliated Hospital of Medical College,Qingdao University,Qingdao,266003
出处
《中华护理杂志》
CSCD
北大核心
2000年第8期459-461,共3页
Chinese Journal of Nursing