充气式保温毯在术后低体温患者中的应用效果观察

Application of gas-filled insulation carpet in treatment of hypothermia patients

目的探讨充气式保温毯在术后低体温患者中的应用效果。方法将80例麻醉术后低体温患者随机分为观察组与对照组,每组各40例,观察组患者在室温下使用保温毯保暖,对照组患者在室温下使用被子保暖。观察两组患者复苏期间0min、10min、20min、40min及苏醒时腋温变化及发生麻醉苏醒延迟和麻醉后寒颤的情况。结果两组患者术后复苏期间0min、10min、20min、40min及苏醒时腋温进行重复测量资料分析:时间与主效应的交互效应比较,F=964.49,P<0.001,说明两组患者不同时间段体温是不相等的;时间效应比较,F=59.87,P<0.001,说明随复苏时间延长,实验组患者体温具有升高趋势,不同时间段比较,均P<0.05;不同时间段两组患者体温比较,除了复苏期间0mim体温比较,P>0.05,差异无统计学意义外,其他时间段比较,均P<0.001,差异具有统计学意义,观察组患者体温均高于对照组。两组患者复苏期间并发症发生情况比较,均P<0.01,差异具有统计学意义,观察组发生率明显低于对照组。结论充气式保温毯能有效预防麻醉术后患者低体温,减少患者术后麻醉苏醒延迟及寒颤的发生率。

Objective To investigate the effect of gas-filled insulation carpet used in the treatment of hypothermia patients. Methods 80 hypothermia patients from anaesthesia were randomized equally into observation group and control group. In the former group, insulation carpets were used to keep body warm and in the latter quilts were used. The two groups were compared in respect of armpit temperature, delayed analepsia from anaesthesia and post-anaesthesia shivering at minutes 0, 10, 20, 40 during analepsia and at analepsia. Results The interation of time with main effect in the two groups was F = 964.49, P 〈 0.001 at minutes 0, 10, 20, 40 during analepsia and at analepsia, indicating differences in body temperatures at different time points. The comparison of time effect between the groups showed F = 59.87, P 〈 0.001, indicating the elongated analepsia. The body temperature in the observation group tended to grow significantly higher than that of the control group at different time points （P 〈 0.001 ） except at the time point of 0 minute （P 〉 0.05 ）. The complication rate in the observation group was significantly lower than that of the control group （P 〈 0.001 ）. Conclusion The gas-filled insulation carpet may be effective in the prevention of hypothermia after anaesthesia and reduce the incidences of delayed analepsia and post-anaesthesia shivering.