主动保温干预措施预防全身麻醉患者术中低体温的效果

Effect of active thermal insulation intervention measures preventing intraoperative hypothermia in patients with general anesthesia

目的探讨主动保温干预措施预防全身麻醉患者术中低体温的效果。方法选取2017年1月~2019年1月在我院接受外科手术进行全身麻醉的66例患者作为研究对象,按照随机数字表法分为对照组(33例)和观察组(33例)。对照组实施常规护理干预,观察组实施主动保温干预。观察和比较两组患者术后寒战的总发生率和不同时间段(麻醉后-T1、术中30 min-T2、手术结束后-T3)的鼻咽部温度。结果观察组术后寒战的总发生率为21.21%,低于对照组的72.73%,差异有统计学意义(P<0.05)。观察组T1、T2、T3的鼻咽部温度分别为(36.40±0.50)、(36.50±0.84)、(36.51±0.39)℃,均高于对照组的(35.20±0.33)、(34.10±0.70)、(34.23±0.99)℃(P<0.05)。结论对全身麻醉患者术中实施主动保温干预措施能够预防低体温,减少寒战的发生。

Objective To explore the effect of active thermal insulation intervention measures preventing intraoperative hypothermia in patients with general anesthesia.Methods From January 2017 to January 2019,66 patients who underwent general anesthesia during surgery in our hospital were selected as the study subjects.According to the random number table method,the patients were divided into the control group(33 cases)and observation group(33 cases).The control group was given routine nursing intervention,while the observation group was given active thermal insulation intervention.The total incidence of post-operative shivering and nasopharyngeal temperature at different time intervals(post-anesthesia-T1,intraoperative 30 min-T2 and post-operation-T3)were observed and compared in patients between the two groups.Results The total incidence of post-operative shivering in the observation group was 21.21%,which was lower than 72.73% in the control group,and the difference was statistically significant(P<0.05).The nasopharyngeal temperatures of T1,T2 and T3 in the observation group was(36.40±0.50),(36.50±0.84),(36.51±0.39)℃ respectively,which were higher than those in the control group([35.20±0.33],[34.10±0.70],[34.23±0.99]℃)(P<0.05).Conclusion Active thermal intervention interventions for patients with general anesthesia can prevent hypothermia and reduce the incidence of shivering.