充气温毯加温在全麻椎间孔镜术中的应用

The Application of Warming Blanket Warming in the Operation of the General Anesthesia Intervertebral Foramen

目的探讨在全麻椎间孔镜术中运用充气温毯加温对病人体温的影响。方法收集我院2018年6月至2018年12月收治的腰椎间盘突出症患者共50例作为观察对象,随机分为观察组和对照组各25例。两组均在相同室温下进行手术,采用等室温冲洗液;观察组采取一般保温措施的同时进行充气温毯加温;对照组仅采用一般保温措施。观察两组患者在入室体温和麻醉后体温、术中30min、术中60min、手术结束五个时间点的体温变化。结果两组患者术前、手术开始时体温检出值对比无显著差异(P>0.05)。手术30 min、手术60min以及术后,对照组体温值下降,与术前基础值相比有统计学意义(P<0.05)。结论在全麻椎间孔镜术中运用充气温毯加温可稳定患者手术过程中的体温,减少手术不适感。

Objective To investigate the effect of inflatable blanket warming on the body temperature of patients undergoing interbody foramen surgery under general anesthesia.Methods From June 2018 to December 2018,50 patients with lumbar disc protrusion were randomly divided into observation group(n=25)and control group(n=25).The two groups were operated at the same room temperature and were treated with equal room temperature washing solution.The observation group was treated with general heat preservation measures while the inflatable blanket was heated;the control group was only treated with general heat preservation measures.The body temperature of the two groups was observed at 30 min during operation and 60 min after anesthesia.End temperature changes at five time points.Results There was no significant difference in body temperature between the two groups before operation and at the beginning of operation(P>0.05).The body temperature of the control group was significantly lower than that of the preoperative basic value(P<0.05).The body temperature of the control group was significantly lower than that of the preoperative basic value(P<0.05).Conclusion The application of inflatable blanket warming in general anesthesia intervertebral foramen surgery can stabilize the body temperature of patients during operation and reduce the discomfort of operation.