小儿腹部手术术中保温与拔管时间的相关性

Correlation of intraoperative warming with extubation time in children's abdominal surgery

目的：探讨小儿腹部手术术中保温与术后拔除气管插管时间的相关性。方法：选择全身麻醉开腹手术患儿160例（ASAl～2级），随机等分为两组，两组冲洗液均用恒温箱加温至37℃。对照组行常规护理，术中采取常规保温措施；观察组术中注意保温采用综合保温措施如室内温度维持在24-26℃，使用电热毯保温等措施。比较两组患儿术前、术后体温的变化及拔管时间。结果：两组患儿术后体温、拔管时间比较，差异均有统计学意义（P〈O．05）。结论：术中注意保暖，并保持手术间温度，可有效缩短患者术后拔管时间，降低不良反应的发生率。

Objective ： To explore the correlation of intraoperative warming with postoperative extubation time in children＇ s abdominal surgery. Methods ： Se- lected 160 children patients taken laparotomy with general anesthesia （ grade ASA1 - 2）, randomly divided them into two groups, washing fluid of the two groups were all heated to 37℃ with thermostat. The control group took routine nursing and adopted routine warming measures during the operation; the ob- servation group paid attention to warming with comprehensive warming measures during the operation, such as maintaining indoor temperature within 24 - 26 ~C and using electric blanket for heat preservation. Compared the variation between preoperative and postoperative temperature as well as extubation time of children patients in the two groups. Results ： Compared the postoperative temperature and extubation time of children patients in the two groups, and the differences were both of statistical significance （P 〈 0.05 ）. Conclusion： Laying emphasis on heat preservation and maintaining temperature inside the opera- tion room during the operation can effectively shorten patients＇ postoperative extubation time and lower the incidence of adverse reaction.