保温护理对全身麻醉患者术中应激及术后苏醒的影响

Insulation care awakening intraoperative and postoperative stress in patients with general anesthesia

目的 探讨全身麻醉患者接受保温护理对其术中应激以及术后苏醒的影响。方法 选取2015年12月~2016年8月全身麻醉患者120例,随机分为两组,各60例,对照组给予基础护理,实验组给予保温护理,比较两组患者术中应激以及术后苏醒情况。结果 实验组全身麻醉患者的术中出血量为（492.36±10.30）ml,输液量为（2107.23±70.15）ml、手术时间为（3.88±0.53）h,与对照组的术中出血量[（495.31±10.09）ml]、输液量[（2119.52±75.10）ml]、手术时间[（3.93±0.46）h]比较,差异无统计学意义（P〉0.05）;实验组低温、寒战、躁动的发生概率明显低于对照组（P〈0.05）;实验组清醒时间为（45.63±7.02）min,气管插管时间为（24.03±7.01）min,PACU滞留时间为（49.63±12.20）min,明显低于对照组的清醒时间[（76.56±10.50）min]、气管插管时间[（35.89±8.51）min]、PACU滞留时间[（79.85±13.46）min]（P〈0.05）;两组患者均出现应激反应,其中实验组的应激反应低于对照组（P〈0.05）。结论 全身麻醉患者接受保温护理,不会对其手术情况造成影响,且可以缩短其术后完全清醒时间,降低低温、寒战等的发生率,减少应激反应,从而促进手术治疗更好地进行。

Objective To explore the general anesthesia patients accepted insulation care on its awakening intraoperatire and postoperative stress.Methods 120 cases of patients with general anesthesia from December＇ 2015 to August 2016 were selected and randomly divided into two groups,60 cases in each group,the control group was treated primary care,the ＇experimental group was given insulation care,the post operative stress condition and revive the intraoperative of two groups were compared.Results Bleeding amount of experimental group of patients was （492.36±10.30）ml,infusion vol- ume was （2107.23±70.15）ml,operation time was （3.88 ±0.53）h,and bleeding amount of control group was （495.31±10.09） ml,infusion volume was （2119.52±75.10） ml,operation time was （3.93± 0.46） h,there were no significant differences（P〉 0.05）;the low temperature,chills,agitation of experimental group were lower than those of control group （P〈0.05）;experimental waking hours was （45.63±7.02） min,endotracheal intubation time was （24.03±7.01） min,PACU residence time was （49.63±12.20） rain in the experimental group,significantly lower than those of control group of waking hours （76.56± 10.50） min,endotracheal intubation time （35.89±8.51） rain, PACU residence time （79.85±13.46） min（P〈0.05）;two groups of patients had stress response,which stress reaction of the experimental group was lower than that of control group （P〈 0.05）.Conclusion General anesthesia patients accepted insulation care,will not affect its operation,and can shorten the postoperative fully awake time,reduce the incidence of low temperature,chills,etc.,reduce stress,so as to promote the sur- gical treatment better.