Bair hugger温度管理仪在婴幼儿巨结肠手术中的应用

Application of Bair Hugger temperature control instrument to the surgery for infant Hirschsprung's disease

目的:探讨Bair hugger温度管理仪在婴幼儿巨结肠手术中的保温效果。方法:将60例患者随机分为对照组和实验组各30例,对照组采用常规保温方法;实验组在此基础上用温度管理仪加温。所有患儿用红外线探头监测前额体温变化,记录两组患儿入室、麻醉开始时、切皮时、术中60 min及手术结束时体温,比较两组患儿寒战发生率、苏醒时间、住院天数。结果:实验组患儿寒战发生率明显低于对照组(P<0.05),患儿苏醒时间、住院天数明显短于对照组(P<0.05);对照组自切皮后各时间点与术前体温比较差异有统计学意义(P<0.05),实验组术中各时间点与术前体温比较差异无统计学意义(P>0.05)。结论:麻醉和手术过程中进行体温监测,采用温度管理仪维持患儿体温可以有效避免因体温下降给患儿带来的危险。

Objective：To investigate the heat preservation effect of Bair Hugger temperature control instrument in the surgery for infant Hirschsprung＇s disease. Methods ：60 infant patients were randomly divided into the control group and the experimental group （30 cases in each group）. The conventional heat preservation method was used in the control group ; Bair Hugger temperature control instrument was used for warming in the experimental group on the basis of the conventional method. The change of forehead temperature was monitored by infrared probe and the temperature in the different time point was recoded and the occurrences of chills, awakening time and hospitalization days were compared between the two groups. Results： The occurrences of chills were fewer in the experimental group than the control group （ P 〈 O. 05 ） ; the awakening time and hospitalization days were shorter in the experimental group than the control group （ P 〈 O. 05 ） ; the difference in the comparison of body temperature was statistically significant from each time point after skin incision with that before opera- tion in the control group （ P 〈 O. 05 ） and no significant difference in the experimental group （ P 〉 0.05 ）. Conclusion ： Maintaining body temperature by using temperature control instrument can effectively avoid the risk resulting from the drop in body temperature of the chil- dren in the process of anesthesia and operation.