摘要
目的:探讨胃肠道手术腹腔冲洗温度对术后麻醉苏醒及并发症的影响。方法:34例急诊胃肠道手术随机分为两组:对照组16例,关腹前用室温生理盐水冲洗腹腔;实验组18例用37℃生理盐水冲洗腹腔,比较两组麻醉复苏、术中体温及术后恢复情况。结果:1.术中两组体温呈持续下降趋势(p<0.01),对照组术毕体温低于实验组(p<0.05);2.实验组术后复苏拔除气管导管时间少于对照组(p<0.05);3.实验组术后1h寒颤发生率、烦躁躁动率、肠通气时间小于对照组(p<0.01,p<0.05),两组VAS疼痛评分无差异(p>0.05)。结论:加温盐水冲洗腹腔有利于麻醉和肠蠕动恢复,对体温降低和术后并发症发生有一定改善。
To study the influences of peritoneal irrigation temperatur on patient’s postoperative complications anesthesia recovery who underwent gastrointestinal surgery.Methods：34 cases of emergency gastrointestinal operations patients were randomly assigned into two groups： control group of 16 cases,irrigated with room temperature saline before suture peritoneum and 18 cases of experimental group irrigated with warming saline,the body temperature during and after operation,postoperative recovery were compared between two groups.Results：1.in both groups,the patient’s body temperature were declined continuely during operation,but in controlled group,it was lower in experimental group while surgery completed（p〈0.05）;2.the anesthesia recovery time of experimental group obviously less than that of controlled group（p〈0.05）;3.the rate of shivering and irritability restlessness 1h after operation,and enterokinesia recovery time of experimental group were less than controlled group（p〈0.01,p〈0.05）,pain visual analog scale（VAS） within 48h showed no significant differences between two groups（p〉0.05）.Conclusion：peritoneal irrigation with warming saline is benefit for anesthesia and enterokinesia recovery,and help to reduce the occurrence of hypothermia and postoperative complications.
出处
《牡丹江医学院学报》
2012年第4期14-16,共3页
Journal of Mudanjiang Medical University
关键词
腹腔冲洗
胃肠手术
体温
并发症
peritoneal irrigation
gastrointestinal surgery
body temperature
complication
